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| African American rhinoplasty African rhinoplasty Ethnic rhinoplasty Revision rhinoplasty
Nose reshaping in people of African descent requires a unique set of skills and understanding of the African American patient. Because of his background, Dr. Boahene has a specialized interest in rhinoplasty in Africans, African Americans, Carribean and individuals of African descent. 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 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. Click to read full article http://www.washingtontimes.com/news/2008/sep/10/ethnic-cosmetic-surgeries-rising/ |
FAQs in African American and Ethnic Rhinoplasty |
Here are answers to some frequently asked questions concerning African American Rhinoplasty: What are some common reasons African Americans seek nasal surgery? wide nostrils wide nasal tips flat noses lack of tip definition breathing problems
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? - Reshaping the nostril without external scars
- Narrowing the tip without external scars
- Improving breathing while reshaping the nose
- Use of patients own tissue in the majority of cases
- Building up the nasal bridge with cartilage ( nasal, ear or rib cartilage)
- Narrowing broad nose with micro-osteotomies using minimally invasive technique
- Do you use the Open or Closed approach in your rhinoplasty procedures? I use both approaches as needed. The open (external) vs. closed (endonasal) approaches are two methods of exposing the nasal cartilages and bones. The main difference is the placement of an incision across the columella. I use microsurgical techniques to close this incision so it rarely becomes an issue. The approach I select however depends largely on my ability to visualize details of the cartilage framework that needs to be contoured. In some cases, the endonasal approach allows excellent visualization whiles in other, seeing more through the open approach allows me to more precisely contour the nasal framework. In the end, meticulous technique blurs the distinction between the two approaches. We have also mastered an approach we call "the open endonasal" approach which is a blend of the two classic open and closed approaches. In the open endonasal approach, all the incisions used for an external approach are used except the columella incision. Thus, while there is no external columella scar, we have the exposure seen in the traditional external approach. I now use the open endonasal approach in over 90% of my rhinoplasties. My goal is always to use the least intrusive approach to achieve the aesthetic changes desired. When I suspect a patient may be prone to poor scarring, I use the endonasal (closed) approach.
- Do you debulk the nasal skin and make major changes in your rhinoplasty procedures? Yes. Rhinoplasty is one of the few cosmetic procedures that the surgeon has to make changes factoring in refinements that will occur long after the surgery is completed. Anticipating the changes that the skin will undergo becomes very important. The thicker the nasal skin, the more structural support is needed. I often will debulk thick skin down to a level that preserves the skin's blood supply that is necessary for nourishment. I use cartilage grafts to provide adequate support and shape to the skin. The skin then adapts to the underlying recontoured cartilages to achieve the desired aesthetic shape. Major changes made during rhinoplasty will only lead to a nice natural result when it blends well with the other facial features like the lips, cheeks, forehead, brow and chin.
- I have considered having rhinoplasty for a while but have been afraid of getting the over-operated look. I do not want to lose my ethnic features. Can that be achieved? A nice rhinoplasty result is not harsh and does not call attention to the nose, but rather directs the admirers focus to your eyes. Thus, a natural looking rhinoplasty should blend seamlessly with the rest of your facial features. We achieve such results by concentrating on contour changes but reshaping what you have creating highlights and shadow points that are photogenic. Nice rhinoplasties that are ethnic sensitive are better accepted than those that are harsh and surgical in appearrance. The answer is yes.
- I have a big nose and thick skin. What can be done to achieve a major difference and a nicer nose? The shape and size of a nose is determined by the framework (nasal bones and cartilages) and the soft tissue that drapes over it (skin, fat, muscle). A thick skin overwhelms the framework preventing any definition to shine through. We address both the soft tissue and the framework to recreate a more proportionate nose that has definition. We recommend in selected cases, treating the nasal skin with creams that improve the nasal skin texture before and after the rhinoplasty. We judiciously thin the skin where necessary to achieve more definition. We focus on building up the frame work with strong cartilage grafts to both support the heavy skin and to achieve favorable definition.The skin then drapes over the new frame work and over time reveal a more defined nose.
- How much does rhinoplasty cost in your practice. The cost of rhinoplasty varies from patient to patient and includes the technical fees, operating room cost and the fees for an anesthesiologist. These costs depend in part on the complexity of the case which determines the time required to make all the changes needed to achieve the results that you will value. We apply any consultation fee towards you final cost and provide follow-up care for up to one year. We provide an estimate of all anticipate fees prior to surgery.
- What should I expect during a rhinoplasty consultation?
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. Boahene
- Digital photographs and analysis
- Computer imaging to preview results
- Complimentary 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:
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| Before and After Photos African American Rhinoplasty |
| Before | After |  |  | 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. |
| 2. Before | After (3months) | After (6months) |  |  |  | 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. |
| 3. Before | After | Before | After |  |  |  |  | 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. |
| 4. Before | After | Before | After | Before | |  |  |  |  |  |  | African American rhinoplasty, thick skin rhinoplasty. Early rhinoplasty result in a thick skin broad bulbous tip broad flat nose with no definition. The nose spreads out when she smiles leaving it less photogenic. Ethnic rhinoplasty done with closed rhinoplasty technique, bridge defined with triple layer septal cartilage, alar rim graft, tip definition all with patients own cartilage. No implants. Notice defined bride on front and oblique view. As the swelling improves, the tip will define even further without any picnhed look. Invisible scars means a scarless rhinoplasty |
| 5. Before | After |  |  | 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 look. |
| 7. Before | After |  | | Rhinoplasty in African American male to reduce dorsal hump and straighten the crooked nose. The bulbous nasal tip was refined for better balance. |
| 8. Before | After |  |  | African rhinoplasty, finesse changes,excellent profile and delicate tip achieved with revision rhinolasty after two previous nose jobs |
| 9. Before | After | Before | After |  |  |  |  | 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. |
| 11. Before | After | Before | After | Before | After |  |  |  |  |  |  | | Ethnic sensitive rhinoplasty. This African American female was interested in reducing her nostril size and flare, narrowing and defining her nasal tip and correctiing the widening of her nose whenever she smiled (a common complain). Rhinoplasty with an open technique with tip refinement, correction of alar flare, nostril reduction, appropriate base narrowing and correction of nasal base widening when smiling. Early result showing minimal buising. Extensive tip work including narrowing of the base of the alar rim and debulking on the tip skin. Swelling over the nasal tip fluctuates during the healing period but over time improves. Judicious use of steroid injection over the nasal tip facilitates the healing process. Notice how the nose does not widen when she smiles. Also notice the absence of obvious scars. |
| 12. Before | After | Before | After | Before | After |  |  |  |  |  |  | | Revision rhinoplasty in African American female showing improved profile, defined nasal bridge, delicate tip work, natural appearing result correcting multiple deformites from her previous rhinoplasty. Early post operative results after her revision rhinoplasty are shown. In revision rhinoplasty, it is important to be specific about the aesthetic goals, identify any functional problems such as breathing difficulties and address both at the same time. Specialized nasal base suture techniques were use to prevent widening of nostrils when she smiles. |
| 15. Before | After |  |  | | 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. |
| 17. Before | After |  |  | 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. |
| 18. Before | After |  |  | 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. |
| 20. Before | After |  |  | 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. |
| 21. Before | After |  |  |  |  |  |  | | 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. |
| 22.. Before | After | Before | After |  |  |  |  | | Three months following ethnic african american rhinoplasty |
| 23. Before | After |  |  | | Rhinoplasty in African American female. Note refinement of nasal tip with debulking and cartilage reshaping and nostril reduction without any visible scars. Reduction rhinoplasty result at 3 months. |
| 24. Before | After |  |  | 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. |
| 25. Before | After | Before | After |  |  |  |  | | Ethnic rhinoplasty defining a flat nose using septal cartilage. |
| 27. Before | After | Before | After |  |  |  |  | | Defined nasal bridge with septal cartilage graft.Tip slightly narrowed |
| 29. Before | After | Before | After |  |  |  |  | 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. |
| |  | | Cover page featuring article by Dr Boahene on rhinoplasty. CLICK to READ FULL ARTICLE |
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