I have since found before and after pictures of the model I had in a previous question. Looking at her before nose, which is on the left in the pictures, her tip is significantly smaller. I was always informed by dr's that its NOT possible to get a lot of definition in a black nose. What technique is used to create a small tip like this?
By creating a smaller tip and a defined bridge, does this somehow create a optical illusion that the nose is smaller than it really is? Thank you :-)
Answer: African American Rhinoplasty
Regardless of Race, it is important for rhinoplasty doctor to understand the patient's goals. Most African American rhinoplasty patients desire increased tip definition, a slight decrease in nostril width or size and more definition of the nasal bridge. They don't want a "Caucasian Nose".
Tip definition is the most important change. This definition can be acheived by contolling skin thickness, shaping the existing tip cartilage domes and finally adding more cartilage grafts to the tip for greater definition, projection and shape.
Nostril width reduction involves removing small wedge of nostril skin right where the nostril skin meets the cheek/lip skin.
If the nasal bridge needs increased definition, cartilage grafts or implants can be used to enhance the profile.
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CONTACT NOW Answer: African American Rhinoplasty
Regardless of Race, it is important for rhinoplasty doctor to understand the patient's goals. Most African American rhinoplasty patients desire increased tip definition, a slight decrease in nostril width or size and more definition of the nasal bridge. They don't want a "Caucasian Nose".
Tip definition is the most important change. This definition can be acheived by contolling skin thickness, shaping the existing tip cartilage domes and finally adding more cartilage grafts to the tip for greater definition, projection and shape.
Nostril width reduction involves removing small wedge of nostril skin right where the nostril skin meets the cheek/lip skin.
If the nasal bridge needs increased definition, cartilage grafts or implants can be used to enhance the profile.
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CONTACT NOW Answer: More defined African American tip It IS possible to get a smaller, more defined tip for African Americans; in general, it can't be as well defined as a caucasian nose, but a more defined tip is definitely possible. Generally, adding height to the nose, with cartilage or implant, while creating a smaller tip creates definition to the African American tip. A small portion of African Americans have very thick skin with a thicker fat pad and definition in these tips can be challenging but can definitely be improved.
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CONTACT NOW Answer: More defined African American tip It IS possible to get a smaller, more defined tip for African Americans; in general, it can't be as well defined as a caucasian nose, but a more defined tip is definitely possible. Generally, adding height to the nose, with cartilage or implant, while creating a smaller tip creates definition to the African American tip. A small portion of African Americans have very thick skin with a thicker fat pad and definition in these tips can be challenging but can definitely be improved.
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December 28, 2009
Answer: Techniques to refine African American nose By creating a smaller tip and more of a defined bridge, this does give an optical illusion that the entire nose is smaller. It appears smaller only because the tip is narrower and the bridge is higher. When the bridge is higher it gives the appearance that the nasal bones are narrower, even though they have not been narrowed. The amount of definition that can be obtained in African-American rhinoplasty depends on how thick the presenting skin is. Rhinoplasty surgery is not skin surgery; it is sculpting and reshaping cartilage of the tip. There are multiple different tip techniques that can be performed such as suturing of both cartilaginous nasal domes, which are part of the lower lateral cartilages, and multiple different tip grafts depending upon the patient’s needs, wants, and desires.
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Answer: Techniques to refine African American nose By creating a smaller tip and more of a defined bridge, this does give an optical illusion that the entire nose is smaller. It appears smaller only because the tip is narrower and the bridge is higher. When the bridge is higher it gives the appearance that the nasal bones are narrower, even though they have not been narrowed. The amount of definition that can be obtained in African-American rhinoplasty depends on how thick the presenting skin is. Rhinoplasty surgery is not skin surgery; it is sculpting and reshaping cartilage of the tip. There are multiple different tip techniques that can be performed such as suturing of both cartilaginous nasal domes, which are part of the lower lateral cartilages, and multiple different tip grafts depending upon the patient’s needs, wants, and desires.
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September 11, 2015
Answer: Ethnic rhinoplasty techniques Hello, Increasing tip projection and maybe a tip graft would be of benefit if you have thick skin. In addition, alar base reduction would be used to create the appearance of a smaller tip. Hope this helps answer your question. Dr. Nassif
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Answer: Ethnic rhinoplasty techniques Hello, Increasing tip projection and maybe a tip graft would be of benefit if you have thick skin. In addition, alar base reduction would be used to create the appearance of a smaller tip. Hope this helps answer your question. Dr. Nassif
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October 1, 2014
Answer: Tip definition in the African American rhinoplasty There is generally no single maneuver to create the well defined tip in a "typical" African American nose. As you have stated and have been told in the past, it is more difficult to obtain extreme definition in thicker skinned noses. That does not necessarily mean that you cannot have significantly improved definition when the surgery is performed appropriately. I have a large ethnic population of rhinoplasty patients and the metaphor I use to explain the changes we are going to make to the nose is as follows: Your nose shape and size has a great deal to do with the framework that the skin lies over. Like a tent, if the support structure is placed in a trapezoid shape, you will have a trapezoid tent. The skin (or canvas of the tent) simply drapes over the structural support that we create with cartilage, bone, and occasionally implants. If your tent (nose) has a very thin canvas (skin) then every detail of the structure beneath that canvas will show through the canvas. If you have a very thick canvas (or thick skin), the surgeon needs to accentuate the structure of your nose so that it will show through the skin, giving you more tip definition. How this is performed will vary but, you can expect a combination of tip sutures, tip grafts, and what we call columella struts. All of these techniques lend support to your tip so that your tip structure will support the skin envelope and thus, give you more tip definition. Finally, your surgeon may also elect to thin the canvas (skin) by defatting the skin, but this will be performed in a very conservative manner. Hope this helps.
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Answer: Tip definition in the African American rhinoplasty There is generally no single maneuver to create the well defined tip in a "typical" African American nose. As you have stated and have been told in the past, it is more difficult to obtain extreme definition in thicker skinned noses. That does not necessarily mean that you cannot have significantly improved definition when the surgery is performed appropriately. I have a large ethnic population of rhinoplasty patients and the metaphor I use to explain the changes we are going to make to the nose is as follows: Your nose shape and size has a great deal to do with the framework that the skin lies over. Like a tent, if the support structure is placed in a trapezoid shape, you will have a trapezoid tent. The skin (or canvas of the tent) simply drapes over the structural support that we create with cartilage, bone, and occasionally implants. If your tent (nose) has a very thin canvas (skin) then every detail of the structure beneath that canvas will show through the canvas. If you have a very thick canvas (or thick skin), the surgeon needs to accentuate the structure of your nose so that it will show through the skin, giving you more tip definition. How this is performed will vary but, you can expect a combination of tip sutures, tip grafts, and what we call columella struts. All of these techniques lend support to your tip so that your tip structure will support the skin envelope and thus, give you more tip definition. Finally, your surgeon may also elect to thin the canvas (skin) by defatting the skin, but this will be performed in a very conservative manner. Hope this helps.
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