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What is this, can it be fixed?

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.

What is this, can it be fixed?

Postby haitianbarbie » Tue Nov 18, 2008 5:06 am

Hello there I have another question. I want to know if there is a term for the doggish look that is seen in many African Americans, where the skin across the nose is thick and leaves the bridge undefined it creates angular lines under the eye and continues on the nasolabial folds.

If it isn't already termed what would you call it?

Would it be remedied 3 fold: fat under the eyes buccal fat pad removal and injections in the nasolabial folds or some other way?

I have three examples:


http://img375.imageshack.us/my.php?image=nose2120op9.jpg
http://img406.imageshack.us/my.php?image=nose10280civ4.jpg
http://img406.imageshack.us/my.php?image=pb080331va0.jpg


In the first two examples you see even after building up the bridge that look is still prevalent.
I'm looking for smooth tightness across the middle of the face.
Here are two examples of the desired effect:
http://img403.imageshack.us/my.php?image=liyah017kb9.jpg
http://img523.imageshack.us/my.php?image=b93u22vi3.jpg
haitianbarbie
 
Posts: 158
Joined: Mon Feb 18, 2008 8:14 pm

Postby drharris » Mon Nov 24, 2008 9:29 am

Dear hatianbarbie,

You are very perceptive. The "doggish" look has been described as a polar bear look in medical text. It is quite common in patients of African descent due to a triad of prominent eyes, flat midface bone structure, and thick skin. It's a challenge to correct. Injectable facial enhacement focusing on filling the tear trough and nasolabial folds can be helpful.

In your first two examples, you can also see that "building up" the bridge may actually worsen the "polar bear" look. This speaks to my previous response to you . . .in that implants are not always a good idea in a patients with a low bridge. Facial rejuvenation is an art. We are simply trying to acheive balance and harmony between the eyes, nose, cheeks lips, and chin.

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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drharris
 
Posts: 54
Joined: Wed Jul 30, 2008 12:02 pm



Postby haitianbarbie » Mon Nov 24, 2008 2:26 pm

Wow thank you so much! That's everything I needed to hear! I only have one (maybe two) other doctors in mind and it's a hard to decision. I would like to start corresponding with your office. I will check out your site to find the appropriate person to start contacting but I hope that you will remember me (my screen name and concerns!)

I totally agree with you on the pro's and con's of dorsal augmenting.
This is a big step for me and I've been trying to research as extensively as possible and you are definitely #1 or #2 on my list.
haitianbarbie
 
Posts: 158
Joined: Mon Feb 18, 2008 8:14 pm

Postby drharris » Thu Nov 27, 2008 8:00 pm

Dear hatianbarbie,


I'm glad that I could help. With rhinoplasty in particular, the patient and physcian should be aesthetic partners . . . .listening and working together to achieve an ideal cosmetic outcome.

Please contact my practice manager, Monica Gomez to discuss next steps. I will definitely remember you and your concerns.

Happy Thanksgiving,

Dr. Harris
Monte O. Harris, MD
5530 Wisconsin Avenue, Suite 612
Chevy Chase, MD 20815
301.951.9292
http://www.aestheticmodernism.com
User avatar
drharris
 
Posts: 54
Joined: Wed Jul 30, 2008 12:02 pm




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