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The Effects of Skin Thickness on an Ethnic Rhinoplasty

All rhinoplasties and noses are not created equal. Caucasian nose jobs require different procedures and techniques than compared to all other ethnicities, such as those of African Americans, Asian, Indian, and Middle Eastern descent.  Even within each of these ethnicities there are cultural and anatomical differences that are taken into account during a nose job.  One common similarity in most ethnic rhinoplasties is the thickness of the skin covering the nose when compared to Caucasian nose skin. The skin in ethnic noses is much thicker than non-ethnic noses.  The nose is structurally supported by a bony  cartilage framework that provides the shape of the nose.  The skin drapes this foundation.  If the skin wrapping this framework is thin like a sheet, then you can see all of the curves, shapes, and forms of the underling framework.  If the skin that wraps the framework is a thick blanket and not at all like a thin sheet, as in ethnic rhinoplasty, it curves, shapes, and forms are blunted.  This prevents the appearance of a sharply defined tip of the nose, and as a result the nose is rounded and bulbous in appearance.

When I preform an ethnic nose job in Charlotte, I closely examine all features of the nose, including the thickness of the skin.  If my patient has thick skin, I know that I will have to do additional procedures to help define the nose, if that is the patient’s goal.  Additionally, there is a limit on the amount of definition that can be achieved with thick skin.  I make sure all of my patients understand this limitation before undergoing an ethnic nose job.

I did my specialty training in facial plastic and reconstructive surgery with prominent rhinoplasty surgeons that specialized in ethnic rhinoplasty, including Dr. Paul Nassif (as seen on the Real Housewives of Beverly Hills).  Dr. Nassif has African American rhinoplasty and Asian rhinoplasty patients from all over the world.  After working with Dr. Nassif and learning his techniques, Carolina Facial Plastic Surgery Center will model his practice’s high level of specialized care.  I have two offices, one in Charlotte, North Carolina near Southpark Mall and the other Columbia, South Carolina near Columbiana Mall.  I look forward to seeing patients in the Irmo and Lexington regions of South Carolina, and the Ballantyne, Eastover, Dilworth, Meyer Park, Lake Norman and Huntersville regions in North Carolina.

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