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The Challenges of an Ethnic Rhinoplasty

Every ethnicity has a unique nose structure – beyond just appearance. The toughness of the skin and cartilage varies widely with different ethnic backgrounds. To produce a truly remarkable enhancement for people of different backgrounds, a deep understanding and breadth of experience in correctly addressing the challenges posed by each ethnic group in reshaping the nose to suit the facial structure. Some of the issues that arise in an NYC ethnic rhinoplasty with ethnicities such as those of Middle Eastern descent, Latinos or Hispanic patients, Asians, and African-Americans include:

  • Thicker nasal skin that conceals narrowing of the nasal structure
  • Darker skin tones are more likely to develop scars after surgery
  • Thicker-skinned patients are more likely to experience excessive swelling after surgery
  • Many ethnic backgrounds have thinner and softer cartilage

Thick Nasal Skin

Thick nasal skin often results in a nose that appears flattened with a poorly defined tip. One of the ways Dr. Westreich can overcome thick nasal skin is by refining the nasal tip and bridge. Depending on your condition, Dr. Westreich may employ either sutures or grafts to reshape your nose and thus tighten the structures beneath the overlying skin. Also, he may suggest adding projection (Augmentation) to the tip or bridge in order to create the illusion of a smaller nose, using structure and form to stretch the thick skin. Skin tightening procedures, such as Fractora or Morpheus, can be used to provide additional narrowing after ethnic rhinoplasty. 

A Dorsal Hump That Affects the Nasal Profile

Straightening a dorsal hump largely depends on the patient’s particular anatomy and the nature of the hump. Dr. Westreich will assess how much of the hump is composed of cartilage and bone, respectively, and thereby make a decision on which technique to use for the reduction. Using the techniques of closed rhinoplasty, he will either smooth down your bridge by shaving down the hump or add grafts to augment (such as radix or supratip grafts) to achieve a straight profile line. Asian and African American patients often require augmentation of the bridge for definition, while Hispanic patients often only have a slight bump on their bridge, which is accentuated by an under-projected tip.

Nostrils That Appear Overly Flared

Wide nostrils are common in many ethnic rhinoplasty patients. In order to reduce the space in the nostrils and thereby provide you with a more balanced look, Dr. Westreich will use one of several options for an Alar Base Reduction strategy. The incision will be made at the base of the nose where it meets the face and will be strategically placed by Dr. Westreich to be inconspicuous after healing.

Undefined Nasal Tip

Excess cartilage concentrated in the upper tip of the nose or poorly shaped cartilage can create an unrefined or bulbous tip. Dr. Westreich will re-design your nasal tip using cartilage excision, cartilage grafts and sutures to recontour the tip cartilage themselves. Ethnic noses are typically underprojected and can be over or underrotated. Cartilage grafts at the base of the nose, such as a columellar strut, add strength and long-term stability, as well as help to lift and give height to the nose, making it look narrower.

What is a Rhinoplasty?

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Ethnic Rhinoplasty Before & After

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Ethnic Rhinoplasty

What is the “perfect nose?” While certain nose shapes and sizes are considered more attractive, only a full evaluation of your facial structure will reveal how to create the most balanced outcome. Our New York Ethnic Rhinoplasty allows you to maintain your unique cultural identity while correcting unwanted aesthetic nasal issues, such as:

  • Drooping tip
  • Hump on bridge of nose
  • Wide nostrils
  • Wide nose structure
  • Bulbous tip
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Ethnic Rhinoplasty Approach

Dr. Westreich typically ensures minimal post-operative scarring by using a closed approach for most rhinoplasty procedures. He may make use of cartilage grafts to enhance the inner structure of the nose, or he may work to refine and narrow the nasal tip. The nostrils may also be shrunk according to the needs of the patient. Symmetry is maintained throughout, and breathing function can be improved.

African American Rhinoplasty

Common issues facing African American nose surgery clients include the reduction of an overly wide nasal tip and the reduction of flared nostrils. Occasionally, the doctor will opt to structure a weak, rounder tip with cartilage borrowed from the nose, ear, or another part of the body. In all cases, he is working towards a highly natural-looking result that maintains your identity and ethnic heritage. The optimal outcome is that friends and family may not immediately recognize the facial improvement as surgical but will comment that you look revitalized, refreshed, and beautiful.

Middle Eastern Rhinoplasty

Whether you are of Arab, Armenian, or Persian descent, Middle Eastern rhinoplasty clients will find that Dr. Westreich is sensitive and attuned to their aesthetic needs, and operates on a basis of respect for cultural diversity and individuality. Protruding nasal bridges are refined, overly long noses are reshaped, and the overall appearance of the features is expertly balanced and harmonized. For the female patient, a softer, more elegant profile is created, reflecting sophistication. For the male client, the profile is refined while still preserving its natural strength and character.

Asian Rhinoplasty

Where Caucasian clients often request a nasal reduction, Asian clients frequently require the opposite: nasal augmentation. Dr. Westreich is highly skilled at enhancing the nasal bridge with rib or ear cartilage for a more pronounced profile. He can also work to refine an overly wide or flat tip and reduce the size of the nostrils. Although these changes may be subtle, many Asian patients find their breathing and sleeping is much improved. Dr. Westreich is also an expert in Asian upper eyelid surgery, or double eyelid surgery, which can often be done under local anesthesia.

Latino/Hispanic Rhinoplasty

Clients of Latino or Hispanic origin frequently seek out Dr. Westreich for his subtle, natural results and vast knowledge of the nasal anatomy. The doctor is able to balance and refine the features in a way that creates both structural and aesthetic improvement without sacrificing cultural norms. Prominent bridges are resculpted to blend well with the eyes, mouth and ears, while a thicker, undefined tip is reduced to draw attention towards the smile. In Dr. Westreich’s capable hands, imperfections, flaws and even injuries are corrected in a nuanced, natural way that allows each client’s true beauty to shine through, uninterrupted.

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Septoplasty by Dr. Westreich Patient Testimonial

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The Definition of Beauty

Each ethnic background can have specific facial modeling with exceptionally attractive features. The most effective way to reshape the nose is to produce a look that enhances the other features. The definition of what is beautiful is in the eye of the beholder. When planning an ethnic rhinoplasty, we believe it is important to listen to the patient and understand what is considered to be the most attractive nose shape and structure in that culture.

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Advanced Surgical Techniques for Ethnic Rhinoplasty Procedures

At New Face NY, we use the most advanced surgical techniques and state-of-the-art systems, and medical equipment. While an ethnic rhinoplasty is a surgery similar to a rhinoplasty performed on a Caucasian in the basics, such as anesthetic and incision placement, once the surgery has begun, different surgical techniques must be used. Narrowing of nostrils may be required, as well as careful shaping of the existing cartilage. For some patients, it may be necessary to add volume to create definition on the bridge of the nose. Every surgery is custom-tailored to suit the facial structure of the patient.

Enhance Your Facial Appearance with an Ethnic Rhinoplasty

As your nose is the central feature of your face, it gets attention. When altering nose shape, size, and structure, it is imperative that the procedure is performed with great delicacy and care, as the final result will have a significant impact on your overall facial balance and how your newly enhanced nose draws attention to your other features.

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Getting Started

Taking your first step towards ethnic rhinoplasty involves scheduling a confidential consultation with Dr. Westreich in the privacy of his NYC office suites. There, he will examine your nose, answer questions, and create a road map for your surgery. This will also be a time for you to review his before and after photographs of patients similar to you and to undergo computer imaging with measured models, which can assist you in better visualizing your final results. If you wish to learn more, contact us today and schedule a consultation for arguably the best Ethnic Rhinoplasty New York has to offer.

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Types of Rhinoplasty

Open Rhinoplasty

The open technique typically leaves a nearly invisible scar on the columella (the skin between the nostrils) and is commonly used as an approach for Rhinoplasty. The same surgery can be performed through both open and closed approaches. Due to his expertise in using the closed approach, the Open Rhinoplasty approach is used only for specific technical reasons in Dr. Westreich’s practice.

Closed Rhinoplasty

During a closed rhinoplasty procedure, the surgeon performs the surgery through the nostrils without visible incisions. Through the nostrils, the surgeon can modify the cartilage and bones, add grafts and sutures, and have a full view of the nasal anatomy. Dr. Westreich prefers using a Closed rhinoplasty approach for several reasons:

  • Patients often heal quicker compared to open rhinoplasty.
  • The tip-profile relationship is easier to establish and predict using a closed approach
  • The blood supply to the nasal skin is preserved using the closed approach, which can result in less scarring and thinning of the skin over time.

Non-surgical Rhinoplasty

Results obtained from non-surgical rhinoplasty last between six months and two years. The procedure requires only topical anesthesia and 15-30 minutes to complete. Patients with prior nasal surgery should be aware of an increased risk of vascular blockage using non-surgical Rhinoplasty. Certain areas of the nose also carry a higher risk of complications with filler injection.

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