Manhattan / New York Ethnic Rhinoplasty

 

A Rhinoplasty Patient Discusses Her Ethnic Rhinoplasty

A New York City Ethnic Rhinoplasty patient discusses her Nose Job procedure, performed by Dr. Oleh Slupchynskyj.

 

People of different Ethnic backgrounds have many different features that set them apart from those of other ancestries. Some Ethnic features, include darker skin, thicker skin, and variations in facial structure are common along African-American patients seeking Rhinoplasty. Some of these differences are apparent in the forehead, eyes, and especially around the nose. While some of these features can lead to an appreciation of human beauty in all of its forms, some patients are not satisfied with either the cosmetic appeal or functional efficiency of their Ethnic noses.

The nose is the most prominent facial feature presenting very well defined racial characteristics. Achieving Facial Harmony in Ethnic Rhinoplasty is the ultimate goal of Ethnic Nose Surgery. Ethnic Facial Harmony is achieved with natural and subtle results, yet the overall difference in his facial appearance is dramatic. Facial Harmony has been restored when an Ethnic Rhinoplasty Patient’s nose is in proper proportion to his total face height, total face width, mandible height, and mouth width.

Among some Ethnic groups, the nose is distinguished by a depression between the eyes at the start of the nasal bridge, a region known as the radix. Some groups may show a wide, flat nasal bridge, while others have a high, narrow bridge. Both of these conditions can lead to problems within the nostrils and issues with breathing, especially during sleep. These groups may also show signs of thin, short cartilage along the lower outside areas around the nostrils, as well as cosmetic issues with an extended nasal tip or the angle between the upper lip and the base of the nose.

As a highly skilled and experienced Ethnic Rhinoplasty Surgeon, Dr. Oleh Slupchynskyj utilizes his deep understanding of nasal structure to provide the best results possible for Manhattan Ethnic Rhinoplasty patients.

View Ethnic Rhinoplasty Before & After Photos.

 

Characteristics of the Ethnic Nose

The Ethnic nose encompasses African-American and Asian noses, displaying physical differences that include skin color variances, in addition to facial structure. These deviations pertain to facial skeleton shape, the configuration of facial muscles, and the thickness of the skin and its subcutaneous fat layer.

The Importance of the Nasal Structure

The Ethnic nose is undoubtedly the most crucial component of all the facial characteristics. The nasal structure often presents very distinct Ethnic features. Anatomical variances characteristic of each Ethnicity are likewise present within the facial framework, which brings overall harmony to the facial structure. This harmony is especially noticeable around the upper jaw area, which forms the support base for the nose. Under perfect circumstances, a pleasing nose should possess an upright nasal bridge set apart from the brow. The angle starts at a small furrow situated near the upper border of the tarsal cartilage of the upper eyelid.

The Nasal Support Structure

The structural support provided by the bone and cartilage of the mid-face region determines the proportions, the framework, and the protrusion of the nose. The dimensions of the Ethnic nose are linked to the remainder of the facial framework, primarily the upper jaw, the lower jaw, the dental arches, and the lips. A qualified Cosmetic Surgeon will take specific measures to care for the skin and cartilage of the nose. This soft-tissue layer is as necessary for full function of the nose as it is for nasal beauty.

Skin Thickness and Ethnic Rhinoplasty

While skin color and texture are significant factors, the thickness of the nasal skin can pose an issue for a Cosmetic Surgeon. A layer of fat under the skin often contributes to this thickness, as does the presence of a high number of sebaceous glands. The sebaceous gland sits near the hair root and produces sebum, an oily, waxy substance that lubricates the skin. When a high number of sebaceous glands are present within a portion of the skin, the sebum they produce can cause the skin to become thick and oily.

When the skin’s thickness is increased by fat or sebum production, the condition can lead to a loss of definition and angularity in the nose. The nose can also take on the appearance of having increased volume and size. Although many patients would attribute these increases to issues regarding the nasal structure, Dr. Slupchynskyj can determine if the issue is related to the skin’s thickness.

Rhinoplasty for African-Americans

Rhinoplasty for African-American patients is occasionally looked at as a specialization where only the most experienced and qualified African-American Rhinoplasty Surgeons can achieve the most beneficial results. In general, an African-American patient’s nose has a different configuration, and contrasting demands for remolding, than those of a patient of Northern European ancestry. Although patients of other Ethnicities may have a high, narrow nasal bridge, many African-American patients possess a low, wide nasal dorsum with wide, flaring nostrils.

Ethnic Rhinoplasty Procedures: Bridge Augmentation

The most significant factor in a successful Rhinoplasty for African-American patients lies in the African-American Rhinoplasty Surgeon’s ability to improve both the functional operation and aesthetic beauty of the nose, while still preserving its unique qualities. Among the most desired operations for thousands of African-American patients is the augmentation or elevation of the nasal bridge. The goal of this procedure is to build up the nasal bridge, which in African-American patients is often wide and flat.

When a patient’s case calls for a higher level of support and volume in the nasal dorsum, neither the transfer of cartilage extracted from other parts nor the introduction of a standard artificial implant can meet those demands. Also, if a standard implant is not placed properly, or if the proportions of the reshaping are out of alignment, the patient may require Revision Surgery to correct these issues. Revision surgery is often much more complicated than the initial procedure due to the loss of tissue and underlying structure within the nose.

Ethnic Rhinoplasty Procedures: SLUPimplant™

Dr. Oleh Slupchynskyj has conducted numerous Rhinoplasty procedures on Ethnic and African-American patients. His experience has led him to develop a special implant that can augment the nasal bridge of his patients with minimal side effects. His trademarked SLUPimplant™, as opposed to many of the other implants on the market today, is not a preformed device. The SLUPimplant™ is particularly configured for nasal bridge augmentation surgeries.

Benefits of the SLUPimplant™

Dr. Slupchynskyj customizes each SLUPimplant™ to conform to the needs of each respective patient, while upholding the characteristics uniquely appealing to their background. Due to its customization, the SLUPimplant™ allows for the improvement of both the exterior appearance of the nose as well as its interior airflow. The custom nature of the SLUPimplant™also increases the chances for success during the initial procedure, thus reducing the need for Revision Surgery.

Rhinoplasty for Latino and Hispanic Patients

For Rhinoplasty patients of Latino or Hispanic origin, the blend of European and Native American features give them a unique beauty and striking good looks; however, even these patients may require Rhinoplasty to correct or alter specific aspects of their nasal structure. The techniques that a surgeon would employ with a Hispanic Rhinoplasty patient would be quite different than those of an African-American patient, as the facial framework of an average Hispanic is radically dissimilar to that of the average African-American.

Hispanic Nasal Structure

As opposed to patients of African descent, who typically have thicker and wider noses, patients of Hispanic origin tend to have thin, short alar cartilages. These smaller cartilages are especially apparent at the medial crura, the tissue that supports the nasal tip. This can lead to a shorter nasal angle between the upper lip and the columella (the base of the nose). In an average Caucasian patient, this angle measures between 90 and 95 degrees. In a Hispanic patient, this angle can be as little as 70 degrees.

This short angle and the wide base makes the nostrils appear nearly circular, rather than the oval shapes seen in most patients. Hispanic patients also typically display a convex nasal bridge, a short columella and a lower radix. An experienced cosmetic surgeon can reshape all of these features while maintaining the patient’s breathing function through the nose and improving the nasal structure and shape.

Smoothing the Nasal Bridge

Since many Hispanic patients exhibit bumps or outward curves along the nasal bridge, surgeons take great care in smoothing and straightening this feature. The surgeon must remove enough tissue to give the nose a straight appearance, but not so much as to cause the bridge to collapse and inhibit breathing functions. This task is frequently accomplished by a cartilage graft in the radix to elevate the area between the eyes, combined with a resection or abrasion of the curved area on the dorsum.

Nasal Tip Projection

Another procedure that Hispanic patients typically undergo results in making the nasal tip more prominent and proportional to the rest of the nose. The alar cartilages along the outside of the nostrils and the medial crura form a “triangle” that lift and support the nasal tip. In Hispanic patients, these cartilages are often small and weak, resulting in a lower tip and a “Pollybeak” defect. The surgeon can implant either cartilage from the patient’s own body or shaped plastic implants to boost the support from these cartilages and bring the tip back up to a more pleasing angle.

Narrowing Flared Nostrils

Patients of various Ethnicities can often display naturally flared nostrils. The widened openings may give the face an angry appearance, even when the patient is apparently content. Many patients request a procedure that will narrow the nasal passages and bring the nostrils into proportion with the rest of the nose. Dr. Slupchynskyj may choose to implant a graft inside the columella, which lengthens the tip and extends the nostrils vertically. The other option is to resect the alar cartilages while maintaining the diameter of the opening so as not to interfere with airflow into the nose.

Rhinoplasty for East Asians

Patients of Chinese, Japanese, Korean, Vietnamese, and other East Asian ancestries also often require or desire Rhinoplasty. As with other Ethnic groups, patients with an East Asian background also have specific characteristics typical of their nasal structure. Surgeons must take note of the features unique to these Asian Rhinoplasty patients, as the same practices that would work on Caucasians and patients of other Ethnicities would potentially “Westernize” these features and take them out of their natural proportions.

East Asian Nasal Structure

The nasal dorsum of an average Asian patient is less prominent, while the nasal tip is wider and less angular. Asian patients also typically have more soft tissue in the nasal tip than those of other races. The Asian nose has thinner cartilage and thicker skin than that of a typical Caucasian patient, which can make resection problematic. The removal of the weak cartilage in the dorsum and the septum can lead to breathing problems and the possibility of delicate and costly revision surgery.

Cartilage Tip Graft

Ethnic Rhinoplasty Surgeons who are inexperienced in dealing with East Asian patients may make a serious mistake when correcting problems in the patient’s nasal tip. In a standard procedure, the surgeon will bring the alar cartilages together at the tip through resection to create a sharper point. However, in Asian noses, scar tissue can form at the tip. This scar tissue forms a bulbous growth at the tip, which counteracts the intended effect. Instead, the surgeon may choose to bring the cartilages together with a graft. This effect narrows the tip without the additional scar tissue.

Raising the Bridge

Many Asian Rhinoplasty patients display a depressed or less prominent nasal dorsum than patients of other races. In years past, the surgeon would use rigid cartilage from a patient’s rib to reinforce the weak nasal cartilage and rebuild the bridge. However, patients often resisted such an invasive procedure. One solution is to implant diced ear cartilage wrapped in the thin skin of the scalp (temporalis fascia). This implant contains all-natural tissues from the patient’s own body, without the risks of bumps or warping.

As with every Ethnic Rinoplasty patient, the measure of success for an Ethnic Rhinoplasty procedure is to shape the nose into more pleasing proportions while maintaining the delicate structure and necessary functionality that enables the patient to breathe efficiently and comfortably. Surgeons with extensive experience in understanding the structural differences among various ethnic groups can effectively accomplish these difficult tasks and achieve a balance of beauty and function for their patients.

About Dr. Oleh Slupchynskyj

Over the years, many Ethnic Nose Surgery patients have achieved the look they desire under the skilled surgical hand of Dr. Oleh Slupchynskyj. Regarded as one of the Best Nose Surgeons in the area, Dr. Slupchynskyj uses the latest surgical techniques and tools to deliver beautiful, aesthetically pleasing results. To schedule a comprehensive consultation, and learn more about Rhinoplasty, including specifics of the procedure, benefits, and cost of Nose Surgery, contact the Aesthetic Institute of New York & New Jersey today.

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