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entirely reshaping an ethnic nose

Dr. Harris will answer all your questions about facial plastic surgery for African-Americans and people with skin of color, including rhinoplasty (nose job), facelift, eyelid surgery (blepharoplasty), lasers, dermal fillers and all other types of facial plastic surgery.

entirely reshaping an ethnic nose

Postby mani11 » Sun May 17, 2009 2:14 am

Dr. Harris,

I know you specialize in African American rhinoplasty, but I am an Asian American patient with a wide, flat nose and thick skin, and I do have some concerns.

My main concern is how conservative a doctor should be in ethnic patients. I am very unhappy with my nose, and I would like a rather radical change. For example, I have a typical wide, flat Asian nose with wide nostrils and a flat bridge. When I smile, my alars tend to spread out quite a bit. I would like a radical alar base reduction (to have my nose brought in dramatically) along with a lot of tip refinement (perhaps having the tip augmented more, but not where it looks unnatural) I would also like to raise my bridge. I do not desire a Caucasian nose in the slightest bit, just the nose I wish I had been born with, one that is proportional to my face.

However, I do not want to have complications in the future if the surgeon chooses to be too radical with my procedure. In fact, I don't even know if this is possible. I have read that it is best to get a conservative rhinoplasty and just be patient with results, since thick skin can take longer to heal. But I do want to look different. What would you recommend? Is this radical rhinoplasty procedure even possible?

Thanks so much,

Mani
mani11
 
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Postby drharris » Mon Jun 29, 2009 12:13 pm

Hi Mani,

I have found in my experience that overly dramatic rhinoplasty results in patient's with thick skin, typically look unnatural and lead to less than optimal aesthetic outcomes over time. There are certain limitations with respect to degree of change as a result of the thickness of your skin. I have seem many cases where surgeons aggressively narrow the nostrils in patients with thick skin but are unable to achieve an appropriate accompanying improvement in tip definition. This results in nasal disharmony and patients look worse than before sugery. The goal is to achieve a more elegant and refined nose which remains balanced with your other facial features. . . .not just a radical change.

I'd be happy review photos with you and discuss your surgical goals.

All the Best,

Dr. Harris
Monte O. Harris, MD
5530 Wisconsin Avenue, Suite 612
Chevy Chase, MD 20815
301.951.9292
http://www.aestheticmodernism.com
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Postby lyssa007 » Tue Jul 21, 2009 4:13 pm

Good evening Dr. Harris,

I am african canadian looking into a rhinoplasty too...I am also interested in changing the shape of my nose I would say ''drastically''too,...I would like to have a mor refine nose, refine tip and smaller nasal bone. I already wrote on your website as I would be interested to have more info on the surgery. My concern is that I tend to do keloids. I live in Montreal but would be willing to travel in order to have this surgery done by a professional surgeon used to doing ethnic rhinoplasties which I have not found here in Montreal. I gathered photos on the net of the ideal nose I would like. Is there anyway I could send you pictures of my face and the desired nose to see if this can be achieved?

Thank you for any information you can provide me.
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Postby drharris » Thu Jul 23, 2009 2:03 pm

It's extremely rare to have keloid scarring in the nose area. So I definitely would not let your possible scarring history be a deterrent to pursuing rhinoplasty.

I'd be happy to have a phone consultation with you and discuss your aesthetic goals . . .particularly if you are interested in having surgery in the near future. I have a number of patients who travel from throughout the US and abroad seeking my "culturally sensitive" approach to cosmetic nasal surgery.

Just call my office and speak with Monica to facilitate next steps . . .you can also email her at monicagomez@harrisface.com

All the Best,

Dr. Harris
Monte O. Harris, MD
5530 Wisconsin Avenue, Suite 612
Chevy Chase, MD 20815
301.951.9292
http://www.aestheticmodernism.com
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