Becoming a doctor at Johns Hopkins demands sacrifice. Some of our physicians have surprising histories. Kofi Boahene is one of three doctors with intriguing backgrounds featured in the Fall issue of Hopkins Medicine magazine. Read the full story http://www.hopkinsmedicinemagazine.org
Ethnic Cosmetic Surgery rising; Washington Times.
Christi Tyson, 32, of Silver Spring is typical of the trend. A corporate nutritionist who interned at Hopkins, she came to Dr. Boahene in May for rhinoplasty - a nose job - that cost $6,000. She first got opinions from two other minority surgeons, paying $100 for each consultation.
"What they wanted to give me didn't fit me. I felt rushed," she says.
An otherwise self-confident person, she unabashedly admits she grew up "with some sort of complex" about her nose because "it seemed a more distinct feature that I didn't like." Neither her mother nor her father had a similar feature.
She brought Dr. Boahene a photo of a high school classmate, actress Kerry Washington, to use as a model. Dr. Boahene made before and after pictures on a computer screen to suggest what would be best for her.
"I wanted to look natural, but not in an extreme way," she says.
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FAQs in African American and Ethnic Rhinoplasty
What are some common reasons African Americans seek nasal surgery?
wide nasal tips
lack of tip definition
What is unique about the African American nose and nasal surgery?
maintaining the African ethnic feature is of utmost importance
an unnatural look is poorly tolerated
short nasal bones requires special handling
skin type prone to scarring
standard rhinoplasty measurements used for Caucasians are not applicable
thicker skin and delicate cartilages require special handling
diverse facial features among African Americans require an individualized approach
What techniques do you use for the African American rhinoplasty?
Dr. Boahene trained at premiere medical institutions and with expert plastic surgeons around the world. He brings this international perspective to his patients. Knowing that different patients have different features, he approaches each patient with an individualized touch. "I take a personal interest in listening to and educating my patients so that we can formulate a plan that produces a natural looking result". Patients are advised to come to their consultations with as much information as they can. Pictures of potential final results are helpful in directing conversation during the consultation. Your nose will be examined to determine your unique anatomic features that may need correction or refinement to ensure long term stable results. Photographs will be taken and then morphed with a computer program so that you can have an idea of the final results. International patients and others who live afar may start the consultation process on-line. To facilitate an on-line consultation, take digital photographs of the face focusing on the nose. The pictures are most helpful when taken against a bold colored background. Digital photographs for rhinoplasty should include a front, profile ( side) and base ( looking into the nostrils) views. Contact Dr. Boahene About African American Rhinoplasty. A consultation with Dr. Boahene will include:Personal consultation with Dr. BoaheneDigital photographs and analysisComputer imaging to preview resultsComplimentary skin care consultation For a consult call us at :410 502 2145 or 410 527 1197 Email us with a your rhinoplasty questions, interests or set up a consultation: firstname.lastname@example.org
* First name (required):* Last name (required):* E-mail address (required):Phone number:* Message (required):
Dr. Boahene trained at premiere medical institutions and with expert plastic surgeons around the world. He brings this international perspective to his patients. Knowing that different patients have different features, he approaches each patient with an individualized touch. "I take a personal interest in listening to and educating my patients so that we can formulate a plan that produces a natural looking result". Patients are advised to come to their consultations with as much information as they can. Pictures of potential final results are helpful in directing conversation during the consultation. Your nose will be examined to determine your unique anatomic features that may need correction or refinement to ensure long term stable results. Photographs will be taken and then morphed with a computer program so that you can have an idea of the final results. International patients and others who live afar may start the consultation process on-line. To facilitate an on-line consultation, take digital photographs of the face focusing on the nose. The pictures are most helpful when taken against a bold colored background. Digital photographs for rhinoplasty should include a front, profile ( side) and base ( looking into the nostrils) views.
For a consult call us at :410 502 2145 or 410 527 1197
Email us with a your rhinoplasty questions, interests or set up a consultation: email@example.com
* First name (required):* Last name (required):* E-mail address (required):Phone number:* Message (required):
Before and After Photos African American Rhinoplasty
Ethnic rhinoplasty to build up a low nasal bridge in this African female using contoured rib cartilage. The broad nasal tip and nostrils were refined to achieve an overall balanced look.The mid nose was narrowed with microosteotomies. Rib cartilage was harvested through a 1.5cm incision hidden in a crease. We use a composite rib bone and cartilage contoured in a 3-dimensional fashion based on the individual's native nose allowing the graft to conform to the bridge, blend well and stay straight without warping.
Nasal tip refinement African American rhinoplasty.The nasal base width is appropriate but the alar margin and nostrils are flared. Using cartilage grafts and cartilage reshaping techniques, the tip is refined without any visible external scars. Notice the natural un-operated look.
Rhinoplasty in an African American model. Beauty models are photographed numerous times a week with
the best of professional equipment which highlights even minor blemishes. Models are therefore particularly
sensitive to cosmetic surgery result that are not photogenic. They demand results that are natural, scarless and
elegant even under the harsh scrutiny of flash lights and the general public. This model had elegant facial features but
wanted a finesse rhinoplasty that will highlight her facial features without the operated look. Major changes were done
here to reshape an extremely flat nose to one that is appropriately projected and photogenic. No implants were used in this case.
There are no visible external scars. Notice the progressive changes occurring over 6 months with more refinement
expected even up to a year. There is proportionate tip and nasal bridge definition and symmetric nostrils after reduction
without external scars. The result preserves her ethnic features.
Early post operative result after rhinoplasty in an African American female. Results showing natural changes,
nice nasal higlights and shawdows which are essential for refining the nose without an obvious operated look.
Nasal tip defining points are highlighted; brow - tip aesthetic lines are naturally created here. The nostrils and nasal base
have been reshaped without visible scars. The rhinoplasty procedure was perform without an external columella incision.
Rhinoplasty patients often ask how much down time to expect. These photos are included here to show the typical appearance
one week after surgery.This individual was able to returned to work after one week after her rhinoplasty.
African American female interested in conservative correction of her
flat nasal bridge and flap bulbous nasal tip. The flat bridge was correced with
careful perforated osteotomies of the nasal bone to prevent destabilization
of her extremely short nasal bones. Septal cartilage graft placed on the
bridge provided additional definition without over-projection ( raised) profile.
The thick nasal tip skin was delicately thinned to achieve additional definition.
Subtle changes can enhance the overall appearance of the nose while preserving
ethnic sensitive features.
Ethnic rhinoplasty is black female from Europe. Results
after 2 months showing well defined bridge, tip definition and
an overall slender refined nose that fits her facial features. No
implants were used in this rhinoplasty. There are no visible
external scars. This is the classic result of the Dr. Boahene
ethnic sensitive natural rhinoplasty technique. Additonal lip
reduction and buccal fat reductionbalances the overall contoured
Tip rhinoplasty in African american female . She had an extremely think nasal skin, very wide nasal lip. The combination of a wide tip and thick skin can pose a challenge. It is not uncommon to find this combination addressed with excessive tip cartilage grafts and implants which results in hard, stiff noses that is overly projected ("stuck up" ), pinched and unnatural. Here, signature cartilage contouring techniques and skin debulking was used to refine the nasal tip. Photos shown were taken one week after surgery. Inspite of the post-surgical swelling, the width of the nasal tip has already been reduced by ~ 30% ( compare blue lines). As the swelling resolves, further definition becomes apparent. Notice also that the nostrils that were visible on front view and now less visible. Techniques were also used to prevent the nasal base from widening when she smiles resulting in a more photogenic nose.
Rhinoplasty in African American male to reduce dorsal hump and straighten the crooked nose. The bulbous nasal tip was
refined for better balance.
African rhinoplasty, finesse changes,excellent profile and
delicate tip achieved with revision rhinolasty after two previous
Ethnic rhinoplasty in an African male with crooked nose, think nasal
skin, flared nostrils and wide nasal base. Rhinoplasty showing correction
of the crooked nose. Finesse tip rhinoplasty retaining masculine features,
no pinching, correction of nostril flare and reduction of wide nasal base.
Overall, a natural looking, non-surgical appearing result.Rhinoplasty
performed with the hybrid open endonasal approach,
resulting in no visible scars. Result at 4 months.
Revision rhinoplasty in an African female. One week result already showing changes in her nasal profile, a smaller nose that is more proportionate with the rest of her face, corrected alar flare and smaller nostrils.Further refinement is expected as the swelling improves. This is the typical extent of bruising 7 days after revision rhinoplasty surgery.
Male rhinoplasty with correction of crooked nose, hooked nose, nasal hump droopy
tip and retracted nsotrils.
Finesse ethnic rhinoplasty in an African American female.Her droopy tip with hanging columella
is corrected. Her tip is slightly projected and rotated up. Her nose is narrowed to fit her face . Note the corrected alar flare and wide nostrils without any visible external scars. Dr. Boahene uses a special technique of cartilage grafting to reshape the nostrils that yields a natural result. Results at10 months are shown here.
Ethnic rhinoplasty in an African American professional female.She was interested in refining her nose without the sharp, harsh surgical appearance . Notice the correction of the droopy tip and improvement in her nasal profile. Results are ethnic sensitive and natural appearing. A well defined tip was acheived inspite of her thick nasal skin.
Tip rhinoplasty in a female with wide nostrils and droopy tip. Finesse changes to
correct droopy tip , reshape and reduce the nostrils were performed.
One week result after revision rhinoplasty in a female who had undergone
two previous rhinoplasties. Note the correction of the rounded nasal tip.
Inspite of post-operative swelling,the new tip reveals better definition. The
previous short nose appearance is corrected. Revision rhinoplasties are
challenging because the surgeon has to accurately identify the alterations made
during the previous surgery and correct them. In this case, an extensive amount
of scar was removed from the tip and shapeless tip cartilages were replaced. Note
the correction of the visible alar scars from the previous nostril reduction. Poor
scarring ouside the alar is a common complain among patients.As
such, I prefer to reshape nostrils and reduce them without external alar scars.
Rhinoplasty in an African American female with low nasal bridge and short
nasal bones. Notice the defined nasal bridge after rhinoplasty utilizing
the patients own nasal cartilage without any implant. Results after 2 years shows
stable cartilage grafts, no resorption, a less bulbous tip and an overall
natural result that fits her face better.
Ethinic rhiniplasty. Afican American rhinoplasty in a female with flat nose, bulbous tip, no nasal bridge and poor nasal definition. Her nose widens when she smiles. Commonly, a nasal implant such as silastic, Medpor or Gortex implants will be recommended by most surgeons. We refined her nose without any implants. Her nasal bridge was defined by repositioing her own nasal bones, and augmenting it further with cartilage harvested from within her nasal septum. We straighten her nasal septum to improve her breathing as well. The patients own tissues blend well with the rest of their nose compared to implants. The mid- portion of the broad flat nose was narrowed with micro-osteotomies.
How narrow should a nose be? In order to refine a nose to blend with the rest of the face, I take in to consideration several features such as one's brow position, cheek height, facial width, eye position etc. Overly narrowing the nose makes the eyes look too far apart. A broad nose can overwhelm the face. Notice the reshaped nostrils and narrowed nasal base. No external incision was utilized in making these changes. The patient particularly disliked the fact that her nose widened whenever she smiles. This is a common complain. This was addressed with special nasal base techniques. These rhinoplasty photos were taken 3 months following her surgery. Further nasal tip refinement is expected.
Rhinoplasty in an African American male .His nose was reshaped to correct wide nostrils, project the droopy nasal tip
and augment his flat nasal bridge.
Rhinolasty in an African Ameican male. African American males
seeking rhinoplasty usually want to maintain strong masculine nose
as well as their ethnic features. In this individual, the nasal hump is
reduced and the droopy tip corrected. On base view, nostril symmetry
is maintained. His nasal tip has betterdefinition. His breathing difficulties
were corrected at the same time. Notice the natural rhinoplasty result.
Ethinc rhinoplasty in this young African American female.
Refining the round and broad nasal tip to achieve a delicate
tip that blends with her full lips and cheeks.
Reshaping of wide nostrils without visible scars.To reshape the nostrils,special cartilage grafts were placed along the nasal tip to lift the nose and change the orientation of the flared nostrils. Additional reduction of the nostrils was done with hidden incisions.This technique allows us to reshape the wide nostrils with natural looking results.
Rhinoplasty in African female correcting flared nostril, broad tip and nasal bridge.
Results at 6 months, no external scars , no implant was used resulting in a natural looking result.
Rinoplasty in black female. Notice nice profile change
with a refined smaller tip which is less rounded. Her bridge is now narrower
but fits her face well. The nostrils have been reduced without any externally visible
scars. She was particularly interested in rhinoplasty refinement without loosing her
ethnic features. The result is a natural ethnic sensitive rhinoplasty.
Ethnic sensitive rhinoplasty in an African American female who was interested in defining her
nasal bridge and reducing her bulbous tip. She stressed her desire for a natural appearance
and retention of her ethnic features.Note how her bridge is more defined and slightly narrowed .
Raising the nasal bridge can be done in a subtle manner to achieve a photogenic appearance
without the " over done" and over projected appearance that is not ethnically sensitive. Her nasal
tip has been refined but sitill maintains the soft curves the is natural and fits her face.
Ethnic rhinoplasty in African american female. Note tip definition, bridge definition and no spreading of the nostrils when
she smiles keeping her nose photogenic. Also note the natural rhinoplasty result, symmetric nostrils and no visible scars.
Her result refines but preserves her ethnic feature . An example of an ethnic sensitive rhinoplasty.
have been reshaped without visible scars. Rhinoplasty patients often ask how much down time to expect. These photos are included here to show the typical appearance one week after surgery.This individual was able to returned to work after one week after her rhinoplasty. Refine continues even up to tow years depending on skin thickness.
Black female from UK interested in rhinoplasty to correct
wide nostrils, droopy tip and low bridge nasal that lacked definition.
Early results showing changes in profile, tip and bridge refinement.
No implants were used in this rhinoplasy, Technique includes selective
debulking of nasal tip skin, perforated osteotomies to reposition
the wide nasal ones, tip cartilage
recontouring.and nostril reduction without external alar scars.