In common terms, rhinoplasty is reshaping or reforming a person’s nose. At the same time, ethnic rhinoplasty is a cosmetic procedure for refining the nose of various persons from different ethnic heritages, such as African, American, Hispanic, Asian, and Middle- eastern. The ultimate goal of ethnic rhinoplasty is to give a shape to the nose to harmonize with the patient’s other features while maintaining and respecting the patient’s heritage. Rhinoplasty enhances a nose to give it more definition or reduces its shape, providing the nose with the perfect finish.
Common characteristics of ethnic noses include wider bridges, lack of tip and bridge definition, generally flatter, and thicker skin with abundant fatty tissue in the tip. The thick skin and weak cartilage in the tip are major factors for the bulbous nose.
For people with non-Caucasians, rhinoplasty surgery can be challenging. Understanding the patient’s needs and desires is important before approaching a nonwhite person. A rhinoplasty surgeon, while communicating with the patient, should explicitly ask the patient his aspirations for this nose job and should take down all the details, including whether he wishes to maintain nasal features of their ethnic heritage or wants a nose that tries to conform to the norms of the white-nose. Those ethnic patients who wish to have a white nose should understand the surgeon that this type of nose will or may not align with the rest of their facial features.
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Different ethnicities require different techniques of rhinoplasty. Noses in African American patients often require building up (augmenting) the nasal bridge and narrowing the nostril base via alar base resection. This procedure also involves eliminating a wedge-shaped piece of tissue where the nostril walls meet the cheeks. The results have shown that the nose doesn’t appear wide from the front.
The goal of Asian patients seeking rhinoplasty is usually opposite to Caucasian noses. The goal is often to make the nose larger. The tip of the Asian nose is naturally less defined and has less projection than the Caucasian nose. It is important to have a skilled surgeon in the unique needs of Asian patients so as not to perform “Caucasian rhinoplasty” on an Asian face. Surgeons unfamiliar with Asian rhinoplasty techniques may perform a Caucasian rhinoplasty on an Asian nose, removing tissue from the tip to narrow and sharpen it. In the Caucasian rhinoplasty, cartilage is often manipulated into the right shape. However, this does not produce the best result in Asian noses with weaker tip cartilage.
Reductive techniques are usually applied to Hispanic and Middle Eastern noses. This technique involves removing bone and cartilage to give a more subtle appearance to the nose. It also includes hump removal, tip refinement (narrowing of the tip), and tip reshaping.
Hence, choosing an experienced rhinoplasty surgeon for the best results becomes important. Only an expert can properly understand your needs and aspirations. Not all cosmetic surgeons are well-versed in the techniques required to obtain desirable results.
