RHINOPLASTY IN PEOPLE OF AFRICAN                                      DESCENT

African rhinoplasty, African American rhinoplasty, Ethnic rhinoplasty, Rhinoplasty in Blacks London, U.K, Europe

Across ethnicities, people seeking rhinoplasty have similar goals - a natural looking nose that fits and complements the rest of their facial features. The desire for preserving ethnically congruent features is particularly strong among patients of African descent who seek rhinoplasty. An aesthetic evaluation of the African nose requires a foundational appreciation of the broad diversity in facial features, facial structure and nasal shapes among patients of African descent. The appreciation of this diversity informs an ethnically sensitive approach to analyzing the African nose for rhinoplasty. 

The aesthetic standards, techniques and measurements commonly used in Caucasian patients, when applied to the ethnic nose, often results in an unnatural, over-operated and a very unhappy patient.

ETHNIC SENSITIVE RHINOPLASTY

Nasal reshaping surgery that significantly alters the ethnic appearance of the face can result in cultural identity discordance and psychosocial dysfunction.

A natural appearing nose after rhinoplasty should be ethnically congruent and appear as un-operated as possible. Appreciating what is natural appearing and ethnically consistent is essential in achieving these goals when planning nasal reshaping surgery. We use the term  ethnic sensitive rhinoplasty  to refer to  nasal reshaping surgery based on ethnically consistent facial and nasal analysis.  The result of an ethnical sensitive rhinoplasty is a  refined yet natural appearing nose that complements the other unaltered and characteristic ethnic features of the face. The prerequisite for an ethnic sensitive rhinoplasty is tailored approach to analyzing the face and nose base on ethnically sensitive concepts of  a natural facial beauty. Ethnic sensitive nasal analysis influences the choice and application of various rhinoplasty techniques to achieve the desired result. In developing the concept of ethnic sensitive rhinoplasty, we have analyzed noses of people of African descent from all continents. Recurring themes,shapes and  proportions in beautiful African noses have influenced my analysis and technique in rhinoplasty in people of African descent.

Concepts of  nasal analysis for ethnic  sensitive rhinoplasty in the African patient by Dr. Kofi Boahene

Ethnic rhinoplasty, no implants used. The thick nasal skin was carefully debulked over the tip.

See the more refined bridge and reshaped nostrils.

Rhinoplasty black  female showing fined bridge and tip.

African Americium rhinoplasty to refine flat bridge using rib cartilage graft.

African American rhinoplasty with correction of droopy tip, dorsal hump , broad bridge in a thick skin nose. Result showing natural appearance, soft nose, refined tip and bridge with no harsh signs of surgery.

Male African American rhinoplasty to correct

dorsal hump, refined narrower bridge and tip.

Male African American rhinoplasty correcting crocked nose, dorsal hump. Results showing straight nose, no hump, refined bridge and nasal tip.

Rhinoplasty in medium thickness skin. Bridge and tip more defined. Nostril shape left Nasal length and unchanged per request. 

Rhinoplasty in African female with thick sebaceous skin showing defined bridge, tip and reduced nostrils.

Rhinoplasty in female of African descent showing improved bridge and tip definition inspite of very thick skin. Nostrils reshaped in a natural manner. Upper and lower lip reception as well as buccal fat removal for facial contouring.

Rhinoplasty showing correction of droopy tip, reshaped nostrils and improved tip definition. Patient with moderately thick nasal skin.

Rhinoplasty result  in medium thickness nasal skin showing defined bridge, narrower tip, less alar and nostril width. Result looks natural with preserved curves.. Additional techniques employed to minimize nose  widening when smiling..

Rhinoplasty, black female showing correction of flat bridge and up-turned nostrils.

African Rhinoplasty showing correction of droopy tip, reshaped nostrils and improved tip  and bridge definition. Patient with moderately thick nasal skin.

Rhinoplasty in  female of African descent showing reduction of nostril flare and subtle tip elevation.

African American rhinoplasty showing defined bridge , correction of droopy tip with preservation  ethnic features.

Rhinoplasty in  female of African descent showing  reduction of wide mid nose, nasal  bridge and tip definition, subtle reduction of alar base  width and nostrils . Patient interested in finesse changes with natural appearing results.

Skin thickness: intermediate.

Rhinoplasty in African Female  with thick nasal skin showing refined bridge, narrowed and refined nasal tip and an overall smaller nose.

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