It is common for many Asian and African American female patients to come to my office requesting that their nose be narrowed. Traditionally these patient often are very happy with the appearance of their face, but find that the dorsal nasal lines are not appreciated in photographs. Quite often I hear the comments, "Dr. D I hate my nose in photographs!...Can you help me?"
The question then is how to narrow the ethnic nose while maintaining it's ethnic proportion and look. I find that the nasal dorsum can be effectively narrowed with medial and lateral osteotomies to produce a very elegant contour and dorsal nasal line. If a patient wants further augmentation of the dorsum, for the placement of eye or reading glasses, then the dorsum can be augmented with rib cartilage and temporalis fascia.
It is becoming more common in my practice for women to come in wanting their nasal dorsum corrected. It common that we then harvest rib cartilage through their previously made breast augmentation incision. Often women use this operative time to exchange their saline breast implants for silicone breast implants. We are finding more women who also wish to undergo their first breast augmentation at the time of their rhinoplasty.
Narrowing of the ethnic nasal dorsum is a procedure that needs to be done with great care in order to maintain the ethnicity of the original nose.
http://www.drbriandicknson.com/
