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Ethnic Rhinoplasty Photo Gallery in Hudson Valley, NY

Procedure: Ethnic Rhinoplasty

Procedure Description: Pre: 35 year old part Native American requesting subtle changes to her nose including reducing the flare of her nostrils, refine the tip of her nose, and narrow the bridge.Post: 1.5 years after closed rhinoplasty. Conservative alar base reduction was performed with reduction of her nostril flare, refinement of her nasal tip and narrowing of her bony bridge. Results were subtle so as to maintain her ethnic appearance rather than create a Caucasian nose.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: Ethnic rhinoplasty patient with spanish background, has always been very self conscious about her nose, in particular, the lack of definition to her nasal tip and flattened profile; also wide nostrils. She also has deep naso labial folds and acne scars. Patient also feels her chin is not defined and weak.After: 1 year after open rhinoplasty with dorsal augmentation to create greater projection to her nasal bridge, tip cartilage grafting to increase nasal tip projection and definition and alar base (nostril) narrowing for an overall more refined and defined nose. She also had a chin augmentation using a permanent silastic (solid silicone) implant. Juvederm was used to fill in her naso labial folds.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 34 year old Indian male from Manhattan self conscious about his droopy nose with large hump and wide nostrils. He would like to make alterations to his nose while maintaining his ethnic appearance. He also had left sided nasal obstruction due to a deviated septum and snoring.After: 1 year after open rhinoplasty. Note elevation of his droopy nasal tip. What appears to be an aggressive dorsal hump (bump on bridge) reduction was much more conservative in that most of this was corrected by elevating the nasal tip. Patients from Indian, and Middle Eastern backgrounds often have droopy nasal tips due to poor cartilage tip support. In these cases, cartilage structural grafting is used to support the tip elevating it to a more pleasing position. This helps address most of the sloping bump on the bridge of the nose. Patients with this ethnic background also tend to have weakness in the mid portion of their nose where the dorsal hump is present. Removing the hump without supporting this area can cause a future collapse of the nose. In this case, “auto spreader grafts” were used. Rather than removing the bump, the excess cartilage in the bridge was folded on itself, hence “auto spreader grafts”, reducing the height without removing any cartilage and at the same time adding structural support. On the front view, his tip looks more refined because of the elevation of his nasal tip, reshaping the tip cartilages, and also removing a small wedge of skin along the nostril margins, also called “alar base reduction” His breathing was dramatically improved by correcting his deviated septum and by use of these auto spreader grafts.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 22 year old female with Hispanic background who presented with nasal obstruction, crooked nose with a dorsal bump.After: 1 year after a closed rhinoplasty. Note her nose is much straighter. It is nearly impossible to get complete straightening and given how crooked her nose was her results are a big improvement. Her dorsal hump (bump) was corrected at the same time. In addition the tip of her nose was refined and lifted via cartilage grafting. Some patients with Hispanic backgrounds have weaker tip cartilages and thicker skin. Refinement and lifting of the nasal tip can only be accomplished by structural cartilage grafting. Her breathing was improved by correcting her deviated septum and placing spreader grafts at the mid vault of her nose where she has used breath rite strips in the past to keep her airway open. Patient was very pleased with her esthetic and functional results and likes how her ethnic appearance was maintained.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Ethnic Rhinoplasty patient who requested hump reduction and tip refinement yet wanted to maintain her original ethnic appearance

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Procedure:

Procedure Description: Rhinoplasty, Nose Surgery

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 27 year old male, Spanish background, who was very self conscious about the way his nose looked due to a large bump on the bridge of his nose as well as the width of his nose being disproportionately wide relative to his oval shaped face. He also was unable to breath out of his nose due to a deviated septum. After: One year after closed rhinoplasty. Note more proportioned width of his nose with increased nasal tip and bridge refinement on the front view. On the oblique view, he has a more balanced nasal bridge after hump reduction. Any time such a large hump (bump) is reduced, there is a possibility for airway collapse due to pinching of the nose. To counteract this, spreader grafts (cartilage grafts from his septum) were used to maintain structural support to his nose giving him long lasting results- not just short term. This supportive maneuver, spreader grafts, as prevention of airway collapse, is often not performed in rhinoplasty, which can lead to what is called an “inverted-V deformity” where the bridge of the nose collapses inward years later as a result of hump (bump) reduction. So when patients tell me, “just take down my bump”, I explain to them that what may seem to be a simple surgery in reality is much more complicated as one has to think long term when it comes to nose surgery results.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 22 year old male, Indian ethnicity, who doesn’t like the lack of definition to his nose, wide nostrils, and bump (hump) on the bridge of his nose. His goals were to create a more refined and defined nose while at the same time maintaining his Indian heritage. He also had restricted breathing due to a deviated septum.After: 1 year after closed rhinoplasty with hump reduction. His nasal tip was refined by increasing his nasal projection and definition via cartilage grafting. The cartilage was used from his septum, which was straightened. In addition his flared nostrils were reduced via an alar base reduction by making a small incision along the nostril rim and removing excess skin. Note that his goals of increasing his nasal definition was accomplished and his Indian ethnic appearance maintained.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 25 year old female with Hispanic background, feels self conscious about the bump on the bridge of her nose, as well as the crookedness to the right.After: 1 year after closed rhinoplasty with dorsal hump reduction. Her nose was also straightened. Note conservative nature to the hump reduction avoiding one of the tell tale signs of rhinoplasty, ski slope appearance as well as inverted v deformity. This can only be accomplished by conservative rhinoplasty where the patients cartilage is reshaped and preserved rather than removed and the bony bridge is not over resected.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 30 year old Hispanic female from Kingston, New York with bulbous droopy nasal tip due to thick skin and lack of tip cartilage, wide nostrils, and wide nasal bones requesting rhinoplasty which is not too drastic so that she can maintain her ethnicity.After: 1 year after closed rhinoplasty with de fatting of the nasal tip along with cartilage tip grafting and alar base (nostril) reduction. Nasal bridge also narrowed.

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Procedure: Ethnic Rhinoplasty

Procedure Description: Before: 20 year old Hispanic patient bothered by dorsal hump (bump on bridge)After: 1 year after closed rhinoplasty with natural reduction of dorsal hump preserving vital supporting structures which will give him long term stability to his nose. Deviated septum also corrected to improve breathing.

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