Unique Problems Faced by Surgeons During Ethnic Rhinoplasty?

Some Different Features of Ethnic Nose Job



Nose aesthetics surgery for patients coming from many different countries, and indeed sometimes in our country will not be seen in the features of the nose can come. Round nose tip aesthetics, ball-shaped nose-tip aesthetics, wide nose aesthetics, fleshy nose aesthetics, clown nose aesthetics, thick-skinned nose aesthetics ... what the internet has you call all the individual names found that even 😃

When it is called "ethnic nose aesthetics" or "ethnic rhinoplasty surgery" because of its different nasal structure, nasal aesthetic surgeries are thought to be made in people with different nose structures whose genetic origins come from the Middle East, Asia, Africa or Latin America. Patients in these countries usually have different nasal structures and characteristics than Caucasian patients.

What Is The Ethnic Rhinoplasty?

Not all noses can be created equally. There are large changes in the structure and structure of the nose in different ethnic groups. Different ethnic origins have different difficulties in nose aesthetics. This does not mean that exceptional results are not possible, but it makes rhinoplasty a complicated procedure, especially for patients with a non-Caucasian heritage. Ethnic nose aesthetics, to eliminate these differences and non-ordinary surgical applications with the aim to obtain a beautiful and functional nose.


Unique Problems Faced by Surgeons During Ethnic Rhinoplasty?

Ethnic nose aesthetics is difficult due to the variations that are frequently found in noses outside the Caucasus. Your nose is unique to you, but it can share some of the most common features in your ethnic background. Your surgery is not for your ethnicity; be customized according to your nose, don't worry.

Common nose characteristics according to ethnic origin

• Hispanic noses (Spanish herpes nose structure properties) - Thicker, oily skin, nose bridge hump, nostrils, wide nose belt is available.
• Middle East noses - Low nasal tip, significant nostrils, thicker skin, broad nasal tip.
• African noses - Wide nostrils, wide nasal tip, low / wide nose bridge, thick and fat nasal skin available.
• Asian Noses - Small noses, thick skin, weak nasal cartilage, lack of end projection.



Difficulties in surgery on African noses with thick nasal skin ...

In African-origin patients, very thick and oily nasal skin features, thin and angular (with light breaking points at the tip of the nose) makes it close to the impossible to obtain a nose.
Although subcutaneous tissue removal in patients with thick nasal skin, insertion of additional cartilage grafts under the nasal skin, applying vitamin A-based creams on the nasal skin, reducing the volume of subcutaneous fat cells, and injecting cortisone under the nasal skin after surgery; often comes insufficient.

Because the buru holes are much larger and larger than the other patient groups, it is generally necessary to cut the nose wings, such as "alar base resection".



In patients with thick nose, cartilages are as thin as in normal noses; problems such as nasal valve collapse or nasal tip droop may occur. For this reason, cartilage support should be more carefully configured than in normal nose aesthetics.

Natural rhinoplasty is an operation that is planned individually and requires different applications. Nasal structure characteristics varying according to ethnic origins may necessitate the application of the surgeon by combining many different applications.

Cartilage Thinning May Cause Nasal Valve Collapse!

Thick Skinned Revision Nose Aesthetic For Nasal Valve Collapse Video

The above video shows images of the nose of a patient who underwent rhinoplasty at a different clinic and who had collapsed nose wings and collapsed various areas at the tip of the nose after the operation. When looked at closely, dense comedone points on the tip of the nose can be seen. During the operation, it was seen that the alar cartilages were quite thin and weak. Normally, in thin-skinned rhinoplasty operations, shaping and thinning operations performed on the alar cartilages are sufficient for shrinkage and thinning of the tip of the nose; while in thick-skinned rhinoplasty operations, this technique can cause collapse in the wings of the nose and collapse of the nasal valve. As seen in the video, cartilage grafts placed in the collapsed areas of the wings provided alar collapse treatment. In thick-skinned rhinoplasty operations, similar to large buildings, care must be taken to protect the cartilage support. In large buildings, column and beam systems are more necessary than in light and thin buildings. Like an engineering study, it is important to preserve the cartilage support in patients with a thick and heavy nasal tip.

In the nose of our country, asymmetry, cartilage curvature, although the belt is obvious, the structure of Africa is much smaller than the nose nose and thin skin structure is seen.

Bilevel Skin Dissection and Underskin Tissue Removal: Skin Thinning Technique

In thick-skinned noses, open technique rhinoplasty and at the same time, bilevel skin dissection and underskin tissue removal from the supratip and nasal tip region are used to thin the skin. However, it should not be forgotten that thick skin features are "genetic" and that the genetic nose features of the patient's mother or father cannot be changed. In other words, after this procedure, the underskin tissue tissue can be regenerated and the skin can thicken spontaneously during the healing process. In order to prevent this, after the thick-skinned rhinoplasty operation, it may be beneficial to apply pressure to the nasal bridge, close the dead spaces under the skin, have the patient avoid sun exposure, cigarettes, salty foods after the surgery, and use roaccutane tablets. Postoperative steroid injections can also be planned for patients. In patients with very thick skin, a method that will provide permanent thinning of the skin has not yet been defined.

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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon - ENT Doctor in Istanbul

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