Rhinoplasty

In our practice, we see a good number of patients seeking ethnic rhinoplasty, particularly Asian and African American patients. I have yet to see a patient who I felt was an ideal candidate for one of the so-called “quick-fix nose job” procedures. Rhinoplasty is a highly individualized procedure, and the appropriate approach depends on the patient’s underlying anatomy, skin and soft-tissue characteristics, and aesthetic goals. In ethnic rhinoplasty in particular, preserving the individual character of the nose while improving balance and proportion is an important consideration. “Quick-fix” techniques typically involve injecting dermal filler to create a temporary improvement in the balance and proportions of the nose. While this can be useful in selected patients, it is not a permanent solution and does not address the underlying nasal structure. These techniques can also be more challenging in some ethnic rhinoplasty patients because the dermis and soft-tissue envelope may be thicker, which can limit how much change can be achieved with filler. And, as is often the case with cosmetic surgery, shortcuts usually come at a price. A technique that appears simpler or less invasive may provide a more limited or temporary result and may not address the underlying structural issues. Rhinoplasty can be a very challenging surgery to correct when the initial procedure does not produce the desired result. Revision rhinoplasty is often more complex because the normal anatomy has already been altered, and there may be scar tissue or changes to the underlying nasal structure. For that reason, your best bet is to have the right surgery the first time. Take the time to discuss your concerns and goals with a board-certified plastic surgeon who has significant experience performing rhinoplasty. A thorough evaluation can help determine what you actually need and develop a surgical plan tailored to your anatomy and goals.