It is no secret that the “main” operation in plastic surgery has always been considered a rhinoplasty. It is a fact, not because the operation is more complicated and expensive compared to the other.
Actually, from the moment of popularization of the surgical correction appearance the rhinoplasty was and remains the most popular among the patients who want to change your appearance and make it more effective and attractive.
However, having corrected shape of the nose, patient may to get the attractiveness and to lose some individual peculiarity. Therefore, the surgeon requires special care when carrying out this operation.
In recent years, modern aesthetic surgery has reached unprecedented heights throught innovative methods of appearance correction. Therefore, the primary task for surgeons is the end result in rhinoplasty and the natural shape of the nose.
In the practice of plastic surgeons does not exist concept of “standard nose”, in each nose operation are taken into account features of the patient, the characteristics of his facial features and its ethnicity to a particular race. Thus the main objective of rhinoplasty is to preserve the functions of smell and breathing, and only then to nose correction under the individual patient order.
For example, plastic surgeons are united in their opinion that a rhinoplasty for patients with African-American appearance is needed a special approach.
Before the nose operation is required laborious study of the physiological characteristics of the patient with a unique ethnic affiliation, to preserve bright characteristics of national traits.
To perform ethnic nose job, the surgeon needs to know clearly the basics bone factors and thickness of the skin for a particular ethnic group. For this purpose a various symposia are held annually for the leading surgeons of the major centers of aesthetic beauty, where doctors are share personal experiences, studing pressing issues related to the peculiarities of ethnic operations.It is vitally important to understand that the surgeons must work for improving the patient’s beauty, while maintaining its individuality and does not to reshape the appearance for the sake of variable fashion.
At present the flow of patients with African American facial features has increased. If the patient want to change the shape of the nose by the standards of the European race, the doctor must explain that such appearance will look ridiculous and unnatural adversely reflected on the natural beauty of the person.
Thanks to new techniques and advanced equipment in the clinics of plastic surgery there is a possibility to carry out a thorough analysis of the skin and bone tissue of the patient.After conducted researches to the patient be offered the most optimal variant form of the nose, according to the oval of his face, with the shape of the chin and brow ridges.
Until recently, surgeries for correction of appearance were the prerogative of the female patients. Now times have changed, a lot of men between the ages 30-40 years seeking to make a correction of appearance and in most cases, starts with nose job.
As a rule, patients brings a photos on the consultation to a doctor, on the example of which they wish to receive exactly the same, the ideal proportions of the nose. All patients have the right to express their desires, but surgeons must gently guide these desires in a reasonable direction.The European image of a successful businessman became extremely fashionable and nations “infected” attractiveness proportional European appearance. The thin elegant nose shape in rare exceptions is suitable for patients with high cheekbones, narrow eyes or the low browridges.
The highest peak of activity of rhinoplasty is observed in patients with ethnic appearance after reaching the age of majority. In women with an ethnic appearance of such activity peak in the New Year’s holidays, and in preparation for the wedding ceremony.
Apparently the fair sex do yourself a personal gift for Christmas or wedding. For example, the main ethnic feature in women with African-American appearance is considered to be a wide nose which they often shall inherit from their fathers. Therefore, young beauties are willing change his nose, in accordance with the proportions of the face before reaching marriageable age.The main objective of the African-American rhinoplasty is to preserve the naturalness of the appearance of the patient. The goal is not to make the ‘European’ nose, because it may be unnatural for patients with obvious signs of ethnicity.
But African-American rhinoplasty may be more difficult than a normal rhinoplasty, because the noses of different nationalities have their own characteristics. Many African Americans complain about the width of the nostrils. Rhinoplasty for them often entails thinning of the bridge of the nose.In any case, the plastic surgery has denied all sorts of beauty standards, all features should be in harmony with the general appearance, in any case, without erasing the national characteristics the patient’s appearance, but only eliminating minor flaws.
The work of a plastic surgeon in this case should be similar to the filigree workmanship of an experienced jeweler, dealing with cutting of natural diamond.
African american rhinoplasty: correction of a wide nose
Many patients who have resorted to the African-American rhinoplasty, want to improve the appearance of a wide nose. Harmony of face is a very important. The nose should not to attract attention, as the most important feature of the face, distracting attention away from the eye.The nose should look natural and function effectively, providing good breathing. One of the criteria of an ideal face of Leonardo da Vinci is a rule according to which en full face should be divided into 5 equal vertical parts.
The wide nose is a common problem among some ethnic groups of patients, it is widespread among Asians and African Americans, as well as among some persons of Caucasian nationality. The reasons for the wide nose. There are many different factors which promote the emergence a wide nose, including:- excessive secretion of the nasal bones,
- wide areas of cartilages in the middle third,
- an expanded the tip of the nose,
- wide nostrils,
- thick skin.
The relative lack of height of the nose can sometimes create the illusion of an excess of its width. If some parts of the nose are too narrow, they can help to ensure that the surrounding areas appear overly broad. The nose may be wide in one or two areas, such as the tip, or may be broad in its entire length.
The width of the upper third of the nose
The reason for the wide bridge of nose are widely spaced nasal bones. Such bone disturbances can divert attention away from the eye.A successful African American rhinoplasty will direct the visual emphasis on the patient’s eye. In this case, rhinoplasty includes osteotomy for the removal of bone segments.
Fracture of the nasal bone (osteotomy) is carried out using a special acute chisel, which is used to make a series of incisions along the sides of the nose, like the holes around the postage stamp.
This technique allows you to perform a controlled fracture of the nasal bones. In patients with a weak nasal bones, or those who have suffered injury, the exact position of the line of fracture is unpredictable and can lead to migration of the bone fragments, causing a negative result.All the broken bones are regenerated in primary education material called callus, which allows to resume normal form. Sometimes, however, callus formation is excessive and even require a minor correction procedures. In rare cases, narrowed nose can cause a feeling of nasal congestion because callus can lead to a reduction of the physical space in the nasal cavity.
If the bridge has remained wide after primary rhinoplasty there are several anatomical reasons. The surgeon may perform an incomplete or inadequate osteotomy.In patients with extremely wide nasal bones prior to surgery, the intermediate osteotomy may be properly preparation for the further reduction of the nose. Some patients have a wide nose bridge, despite adequate lateral osteotomy. This may be due to the broad horizontal sections of the nasal bones. Removal the medial aspect of the nasal bone may be required to adequately reduce the width of the nose in these patients.
The width of the middle third of the nose
It provides a transition from the upper to the lower third, and must be combined with the rest of the nose. The ideal width of the front projection is variable but should amount to about 75% of the ideal width of the wing. The height of the middle third should be harmonious with the upper and lower thirds.
Any unevenness of the middle third may indicate significant functional shortcomings. The more common problems in this area are the saddle deformations caused by various factors of postoperative (hematoma, abscess), or non-surgical origin (granulomatous disease, syphilis, tumors).In order to correct the excess width in the middle third of the nose is used osteotomy, including the destruction and displacement of the nasal bones. Osteotomy can increase recovery time after an African-American rhinoplasty.
When narrowing the nose is very important undertake special precautions to prevent excessive narrowing of the nasal structure and ensure proper functioning and breathing after the operation.
Each time the patient inhales, it creates a negative pressure which affects middle nasal cartilages. Over time, the forces of scar contracture leads to a narrowing of the middle part of the nose. A combination of scar contracture and negative pressure may cause long-term serious breathing problems.The width of the bottom third of the nose
The tip is the most difficult part of the anatomically structure of the nose. The lower lateral cartilages are multi-faceted three-dimensional shapes, which can be changed with the help of rhinoplasty.
Interaction between alar cartilage, surrounding soft tissue and cartilage of the nasal septum are responsible for the overall shape and the position of the tip of the nose.
Extended tip is due to the size of the lower nasal cartilage, so Rhinoplasty involves reshaping the cartilage tissue. When reducing the tip of nose there is a risk of overcorrection – overly aggressive removal of cartilage, which subsequently leading to undesirable consequences. Perhaps a contraction of cartilage with threads without its resection.For some patients with a wide tip of the nose and a thick skin would be appropriate to increase the nose. The tip will look narrower in the front. Wings of a nose restrict external nostril holes leading to the initial portion of the nasal cavity. Wide nostrils is a common complaint of patients, conditioned by ethnic or genetic characteristics.
The width of the nostrils greater than the distance between the eyes. The perfect nose creates a triangular shape with a symmetrical nostrils, which have proportional the size. When the nostrils are too wide or large, they distract attention from the eyes and face. Many people are surprised to learn that the outer part of the nostrils has no cartilage, and is formed of a fibro-fatty soft tissue. To reduce the size of the nostrils, the surgeon removes part of the tissue through the incisions. This leads to the minimization of scarring.A common method for reduced the width of the nostrils is a fulfillment of a wedge-shaped excision of soft tissue of the wing. There are two types the wedge. The first supports the inner circumference of the nostrils, while the second involves removing a portion of the inner skin of the nostrils to further reduce their size.
Wide nose after ethnic nose job
Many patients want to get the perfect shape of the nose immediately after surgery. This desire for immediate results is one of the main reasons why many patients resort to secondary rhinoplasty. Nose swells and swells up after the operation. The end result is not achieved in a month or even a year. This is the hardest part of the recovery period.Rhinoplasty is a unique operation, after which change structure of the nose shape occur throughout the life of the patient. Many patients have stated that after the resolution of swelling their noses looked good. Then, over time, nose be narrowed, and then deforms, and such changes can occur even 15 years after ethnic nose job.
Patients are also complained that their nasal breathing was deteriorating for a long time after rhinoplasty.Healing after African-American rhinoplasty involves two processes. The first healing process is the resolution of initial post-operative edema. The rate at which the swelling disappears varies from patient to patient, and depends on factors, the patient was subjected to a previous operation, and whether a scar tissue.
Most patients with a thin skin swelling disappears within a few months. Patients with a thick skin swelling may persist for many years.
Healing process continues even after the disappearance of swelling. In this case, a layer of scar tissue, which is formed in the correction area of the nasal structures is gradually compressed by over time.
In most patients, the scar contracture take place throughout life. That is why many patients claim that their nose continues to change after surgery.Patients with a thick skin are observed less pronounced changes than patients with medium and thin skin. Some patient with with a thicker skin may see their stabilizes nose over time, with minimal changes after the initial healing process.
Ethnic Rhinoplasty Prices:
- $10,000 – Jeffrey Epstein, MD, FACS – Miami, FL – 2016;
- $10,000 – Rod J. Rohrich, MD – Dallas, TX – 2016;
- $10,195 – Bert Oelbrandt, MD – Belgium – 2016;
- $11,000 – Ali Sajjadian, MD, FACS – Newport Beach, CA – 2016;
- $11,000 – Carlos Burnett, MD, FACS – New Jersey – 2016;
- $11,448 – Stanley Okoro, MD – Marietta, GA – 2016;
- $12,000 – Achih Chen, MD, FACS – Evans, GA – 2016;
- $12,000 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2016;
- $12,500 – Dr. Oleh Slupchynskj – New York, NY – 2016;
- $12,500 – Dr. Oleh Slupchynskj – New York, NY – 2016;
- $14,000 – S. Larry Schlesinger, MD, FACS – Honolulu, HI – 2016;
- $17,000 – Sam Rizk, MD – New York, NY – 2016;
- $3,300 – Derby Sang Caputo, MD – Dominican Republic, DO – 2016;
- $3,320 – Belgium, BE – 2016;
- $3,500 – Howard D. Krein, MD, PhD – New Philadelphia, PA – 2016;
- $3,500 – Manuel Gutierrez Romero, MD – Mexico, MO – 2016;
- $4,000 – Bert Oelbrandt, MD – Belgium, BE – 2016;
- $4,000 – Jawed Tahery, FRCS – United Kingdom, GB – 2016;
- $4,000 – Luis Pavajeau, MD – Colombia, CO – 2016;
- $4,000 – Tanveer Janjua, MD – Bedminster, NJ – 2016;
- $5,000 – Upstate NY – 2016;
- $5,200 – Ifeolumipo O. Sofola, MD FACS – Houston, TX – 2016;
- $5,200 – Peter Raphael, MD – West Plano, TX – 2016;
- $5,400 – M. Azhar Ali, MD, FACS – Troy, MI – 2016;
- $5,500 – Marcelo Ghersi, MD – Miami, FL – 2016;
- $5,500 – Tanveer Janjua, MD – Bedminster, NJ – 2016;
- $5,800 – Jose Perez-Gurri, MD, FACS – Miami, FL – 2016;
- $5,800 – Jose Perez-Gurri, MD, FACS – Miami, FL – 2016;
- $5,901 – Rajendra R. Shah, MD, FACS – Oak Lawn, IL – 2016;
- $6,000 – Belgium, BE – 2016;
- $6,000 – Eric T. Waterman, MD, FACS – Bellevu – 2016;
- $6,000 – Jawed Tahery, FRCS – Chester, GB – 2016;
- $6,000 – New York, NY – 2016;
- $6,000 – Nyc – 2016;
- $6,250 – Sergio Pasquale Maggi, MD, FACS – Austin, TX – 2016;
- $6,500 – Beverly Hills, CA – 2016;
- $6,590 – Ryan Mitchell, DO, FAOCO – Henderson, NV – 2016;
- $6,600 – Andrew Miller, MD – Edison, NJ – 2016;
- $6,750 – Louis M. DeJoseph, MD – Atlanta, GA – 2016;
- $6,885 – Kyle S. Choe, MD – Virginia Beach, VA – 2016;
- $7,000 – Chicago, IL – 2016;
- $7,000 – Dejoseph – Charlotte, NC – 2016;
- $7,000 – Giancarlo Zuliani, MD – Michigan, MI – 2016;
- $7,000 – Waseem Saeed, BSc, MBChB, FRCS(Plast) – Manchester, GB – 2016;
- $7,300 – Andrew Miller, MD – Manhattan, NY – 2016;
- $7,302 – Louis M. DeJoseph, MD – Atlanta, GA – 2016;
- $7,400 – Tanveer Janjua, MD – Bedminster, NJ – 2016;
- $7,500 – Pramit Malhotra, MD – Ann Arbor, MI – 2016;
- $7,500 – Pramit Malhotra, MD – Ann Arbor, MI – 2016;
- $7,770 – Brian Maloney, MD, FACS – Atlanta, GA – 2016;
- $8,000 – Baltimore, MD – 2016;
- $8,000 – Oleh Slupchynskyj, MD, FACS – New York, NY. – 2016;
- $8,500 – Bivik Shah, MD – Columbus, OH – 2016;
- $8,500 – Myung Ju Lee, MD, PhD – South Korea, KR – 2016;
- $8,600 – Edward S. Kwak, MD – New York, NY – 2016;
- $9,000 – Carlos Burnett, MD, FACS – New Jersey – 2016;
- $9,000 – Kenneth B. Hughes, MD – Los Angeles, CA – 2016;
- $9,000 – Wright Jones, MD – Atlanta, GA – 2016;
- $9,500 – Christopher Khorsandi, MD – Henderson, NV – 2016;
- $9,500 – Vladimir Grigoryants, MD – Glendale, CA – 2016;
- $1,500 – Jamil Ahmad, MD – Mississauga, ON – 2015;
- $10,000 – Beverly Hills, CA – 2015;
- $10,051 – Rod J. Rohrich, MD – Dallas, TX – 2015;
- $10,350 – Steven R. Cohen, MD – San Diego, CA – 2015;
- $12,243 – Kofi Boahene, MD – Baltimore, MD – 2015;
- $14,000 – Ali Sajjadian, MD, FACS – Orange County, CA – 2015;
- $15,000 – Ashkan Ghavami, MD – Beverly Hills, CA – 2015;
- $19,675 – Ashkan Ghavami, MD – Beverly Hills, CA – 2015;
- $2,000 – Lloyd D Landsman, MD – Stony Brook, NY – 2015;
- $4,000 – Dr Faizal Anwar – Melbourne, AU – 2015;
- $4,395 – Ron Hazani, MD, FACS – Beverly Hills, CA – 2015;
- $4,395 – Ron Hazani, MD, FACS – Beverly Hills, CA – 2015;
- $4,500 – Harvey A. Zarem, MD – Savannah, GA – 2015;
- $4,500 – Michael Salzhauer, MD – Miami, FL – 2015;
- $4,800 – Miles Graivier, MD – Rowell, GA – 2015;
- $5,000 – Baltimore, MD – 2015;
- $6,000 – California, CA – 2015;
- $6,000 – Edmund Kwan, MD – New York, NY – 2015;
- $6,370 – Steven P. Davison, DDS, MD, FACS – Washington, DC – 2015;
- $6,500 – New Jersey, NJ – 2015;
- $7,000 – Michael Salzhauer, MD – Miami, FL – 2015;
- $7,200 – Bivik Shah, MD – Columbus, OH – 2015;
- $7,500 – Daniel Del Vecchio, MD – Boston, MA – 2015;
- $7,995 – Samuel Lam, MD – Plano, TX – 2015;
- $8,000 – Beverly Hills, CA – 2015;
- $8,700 – Jason S. Hamilton, MD – Beverly Hills, CA – 2015;
- $8,700 – Jason S. Hamilton, MD – Beverly Hills, CA – 2015;
- $9,000 – Jeffrey Rawnsley, MD – Westwood, CA – 2015;
- $9,500 – BH Profiles – San Francisco, CA – 2015;
- $9,500 – Los Angeles, CA – 2015;
- $10,000 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2014;
- $10,000 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2014;
- $10,500 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2014;
- $11,500 – Manuel Gutierrez Romero, MD – Tijuana, MX – 2014;
- $12,000 – Jason Litner, MD – West Hollywood, CA – 2014;
- $15,000 – Chevy Chase, MD – 2014;
- $3,500 – Dr. Edgar Contreras – Dominican Republic, DO – 2014;
- $3,500 – Manuel Gutierrez Romero, MD – Mexico, MX – 2014;
- $3,700 – Manuel Gutierrez Romero, MD – Tijuana, Mexico – 2014;
- $3,900 – Manuel Gutierrez Romero, MD – Mexico, MX – 2014;
- $4,600 – Kenneth M. Toft, MD – Roseville, CA – 2014;
- $5,000 – Kofi Boahene, MD – Baltimore, MD – 2014;
- $5,000 – Richard Galitz, MD, FACS – Aventura, FL – 2014;
- $5,000 – Saint Petersburg, FL – 2014;
- $5,500 – Beverly Hills, CA – 2014;
- $6,000 – Anchorage, AK – 2014;
- $6,000 – Baltimore, MD – 2014;
- $6,000 – Bronx, NY – 2014;
- $6,000 – Los Angeles, CA – 2014;
- $6,000 – Michael E. Jones, MD – New York, NY – 2014;
- $6,000 – Michael Salzhauer, MD – Bal Harbour, FL – 2014;
- $6,175 – Andrew Miller, MD – Edison, NJ – 2014;
- $6,300 – Bert Oelbrandt, MD – United Kingdom, GB – 2014;
- $6,500 – David Whiteman, MD – Atlanta, GA – 2014;
- $6,500 – New York, NY – 2014;
- $6,500 – Rami Ghurani, MD – Miami Beach, FL – 2014;
- $6,700 – Pramit Malhotra, MD – Ann Arbor, MI – 2014;
- $7,000 – Alex Campbell, MD – Columbia. CO – 2014;
- $7,000 – Baltimore, MD – 2014;
- $7,000 – Philadelphia, PA – 2014;
- $7,500 – Monte Harris, MD – Chevy Chase, MD – 2014;
- $7,500 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2014;
- $8,000 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2014;
- $8,000 – Philadelphia, PA – 2014;
- $8,000 – Richard W. Westreich, MD – Brooklyn, NY – 2014;
- $8,250 – Chicago, IL – 2014;
- $8,500 – Jason S. Hamilton, MD – Los Angeles, CA – 2014;
- $8,700 – Kofi Boahene, MD – Baltimore, MD – 2014;
- $9,000 – Paul S. Nassif, MD – Beverly Hills, CA – 2014;
- $10,000 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2013;
- $12,000 – Tarick K. Smiley, MD – Upland, CA – 2013;
- $2,500 – Tanveer Janjua, MD – West Orange, NJ – 2013;
- $3,000 – Michael Elam, MD – Newport Beach, CA – 2013;
- $3,000 – none – New York, NY – 2013;
- $3,500 – Anil R. Shah, MD – Chicago, IL – 2013;
- $4,500 – Fort Lauderdale, FL – 2013;
- $4,500 – Pramit Malhotra, MD – Ann Arbor, MI – 2013;
- $4,600 – Michelle Hardaway, MD – Southfield, MI – 2013;
- $5,395 – Michael Salzhauer, MD – Miami, FL – 2013;
- $6,000 – Jon F. Harrell, DO, FACS – Weston, FL – 2013;
- $6,100 – Nathan T. Leigh, MD – Edina, MN – 2013;
- $6,300 – Dr Syed Ilas – Nagpur, India – 2013;
- $7,000 – Atlanta, GA – 2013;
- $7,000 – Robert E. Zaworski, MD – Atlanta, GA – 2013;
- $7,000 – Rodger Wade Pielet, MD (in memoriam) – Miami, FL – 2013;
- $7,500 – Weston, FL – 2013;
- $8,000 – Kofi Boahene, MD – Baltimore, MD – 2013;
- $8,000 – Lawrence A. Lefkoff, MD – Atlanta, GA – 2013;
- $8,500 – Georgia, GA – 2013;
- $8,500 – Oleh Slupchynskyj, MD, FACS – Manhattan, NY – 2013;
- $9,500 – Oleh Slupchynskyj – New York, NY – 2013;
- $6,000 – Adam L. Basner, MD – Baltimore, MD – 2012;
- $6,000 – Monte Harris, MD – Chevy Chase, MD – 2012;
- $6,500 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2012;
- $7,000 – Eric M. Joseph, MD – West Orange, NJ – 2012;
- $7,000 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2012;
- $7,000 – Sacramento, CA – 2012;
- $1,500 – Oleh Slupchynskyj, MD, FACS – New York, NY – 2011;
- $3,842 – Robert Mounsey, MD – Toronto, ON – 2011;
- $5,700 – David A. Bray, Sr., MD – Torrance, CA – 2011;
- $7,000 – Brian Maloney, MD, FACS – Atlanta, GA – 2011;
- $1,000 – Roger-Paul Delorme – Montreal – 2009;
- $4,000 – Glasgow, UK – 2009;
- $7,000 – Geoffrey W. Tobias, MD – Englewood, NJ – 2009;
Top Ethnic Rhinoplasty Surgeons
Rating is based on the number of reviews from the site https://realself.com- Oleh Slupchynskyj, MD, FACS – New York, NY – 12 surgeries (prices from $1500 to $12000 US dollars);
- Manuel Gutierrez Romero, MD – Mexico, MO – 5 surgeries (prices from $3500 to $11500 US dollars);
- Kofi Boahene, MD – Baltimore, MD – 4 surgeries (prices from $5000 to $12243 US dollars);
- Pramit Malhotra, MD – Ann Arbor, MI – 4 surgeries (prices from $4500 to $7500 US dollars);
- Tanveer Janjua, MD – Bedminster, NJ – 4 surgeries (prices from $2500 to $7400 US dollars);
- Michael Salzhauer, MD – Bal Harbour, FL – 4 surgeries (prices from $4500 to $7000 US dollars);
- Bert Oelbrandt, MD – Belgium, BE – 3 surgeries (prices from $4000 to $10195 US dollars);
- Jason S. Hamilton, MD – Beverly Hills, CA – 3 surgeries (prices from $8500 to $8700 US dollars);
- Andrew Miller, MD – Edison, NJ – 3 surgeries (prices from $6175 to $7300 US dollars);
- Dr. Oleh Slupchynskj – New York, NY – 2 surgeries (prices from $4000 to $12500 US dollars);