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There is definitely no “one size fits all” option for Rhinoplasty.
In fact, breaking things down into categories is artificial.
Noses are like fingerprints.
I always design each nose exactly to proportions and characteristics of each patient’s face.
That said, there are often commonalities amongst different types of patients / noses.
We can use this information to help with analysis of what needs to be done and how we can accomplish these goals.
Click below for more detailed information as well as rhinoplasty before and after photos for specific subgroups / ethnic subtypes.
Often characterized by a low flat bridge and thick skin with a wide tip and a wide base, African-American rhinoplasty presents a few major challenges.
First, how to increase project of the tip in order to narrow it. Simply removing some of the tip cartilage, as many plastic surgeons do, will only make a somewhat smaller, but still wide tip.
We want to push the tip forward, which will make it more angular, increasing the projection. This results in a slimmer, more refined appearance with nicer angle views.
The bridge can then be smoothened or gently built up to match the new tip projection and give a nice slope to the profile.
Patients often ask about narrowing the base of the nose (alar wedge or alar base reduction). Most of the time, I discourage patients from this. It is often not necessary for an excellent result and the downside is additional scarring externally.
The patient above shows significant narrowing without base excisions.
However in very wide noses of any ethnicity, depending on starting point and patient goals, we may indeed opt for this technique in order to bring the base of the nose into harmony with the more refined tip.