“Ethnic rhinoplasty” is a misleading, all-encompassing term used to describe rhinoplasty in people of non-Caucasian descent. Whilst the noses of all races and genders can have various factors in common and that are different, I will discuss briefly the reasons why people of Afro-Caribbean decent often seek Rhinoplasty and how these issues are addressed.
For noses that are wide and flat the key is to narrow the bridge of the nose, increase the nasal tip projection and increase tip definition. I do this by cutting the nasal bones using the Piezotome and pushing them closer together to reduce the width of the nasal bridge.
The Piezotome allows a more accurate and precise method by which to cut the bones and avoids damage to the surrounding soft tissue than traditional methods. A cartilage graft is sometimes used to further augment the height of the bridge. I also strategically place cartilage grafts to increase tip definition and give nasal projection. An alar base excision can be performed to narrow the width of the nostrils. However, this must be done very carefully to prevent deforming the shape of the nostrils which can result in an unsightly “triangular” appearance. Steroid injections after surgery can be helpful to increase tip definition by thinning the thick nasal skin.
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