Ethnic Rhinoplasty

Since people of different ethnicities often have noses with distinct characteristics, ethnic rhinoplasty requires a highly individualized approach. At his Seattle, Washington area practice Dr. Lamperti has extensive experience working with a diverse range of patients. Dr. Lamperti is especially attuned to the various aesthetic needs and preferences of African-American, Asian-American, Latin/Hispanic, Middle Eastern and other non-Caucasian patients which allows him to achieve results that harmonize beautifully with the other facial features of his patients.

What Ethnic Rhinoplasty Involves

The overall considerations in Ethnic Rhinoplasty are the same as that in any Rhinoplasty. How to best allow the nose to blend seamlessly and in balance with the entire face. Dr. Lamperti may use an open (external) or closed (endonasal) technique depending on the what maneuvers need to be performed. There is no one ideal nose. Dr. Lamperti is a strong believer in performing preoperative computer morphing to create a dialogue with his patients. This allows for the formation of a highly customized treatment plan based on your aesthetic preferences.

Maintaining Your Ethnic Heritage

Gone are the days where the sole goal of Ethnic Rhinoplasty surgery was to simply create a more Caucasian appearing nose, erasing all vestiges of the patient's ethnic background. Dr. Lamperti understands that what patients of any ethnicity want is a nose that better blends in with and enhances the rest of their facial features.

The following are some common concerns that Ethnic Rhinoplasty can address:

Low Nasal Bridge

Having a low bridge is a common finding in Asian and African American noses. This patient had septal cartilage harvested, layered and then carved to create a customized implant. This was then placed over her nasal bridge using a hidden incision inside the nose (closed or endonasal approach). On frontal view one can see how the patient's nose appears less wide and her eyes seem closer together. On profile view a naturally augmented bridge can be seen in which her radix is now starting at a more appropriate point near her upper eyelid lash line.

Asian bridge augmentation with septal cartilage graftAsian bridge augmentation with septal cartilage grafting

This African American gentleman also presented with a low nasal bridge. Dr. Lamperti used the patient's ear cartilage to carve a double layered graft which was placed over his dorsum using a closed rhinoplasty approach. After surgery one can appreciate a higher starting point for the bridge and a less concave profile line.

African American dorsal nasal augmentation with cartilage grafting

This Asian rhinoplasty patient also had a low bridge. You can see how her dorsum starts below her eyelash line. Dr. Lamperti also used a cartilage graft using the patient's septal cartilage to build up the bridge. You can see in the after photo from 1 year following surgery how he bridge is much straighter and also how the bridge starts higher toward her upper eyelash line.

Asian rhinoplasty bridge augmentation profile before and after photos

Tip Bulbosity

Non-Caucasian noses are often notable for having relatively bulbous tips. The cause can be pinpointed to a variety of factors including thick skin, convex nasal tip cartilages, and a discrete fat pad between the nasal tip cartilages and skin. This patient is a good example of the role of both the subcutaneous fat pad and the orientation of the nasal tip cartilages. Besides improving the patient's tip bulbosity Dr. Lamperti also augmented the patient's nasal bridge using septal cartilage and narrowed her nostril width using a alar wedge excision.

Hispanic bulbous tip rhinoplasty frontal view

Hispanic rhinoplasty bulbous tip repair with defatting and radix grafting

This patient also had concerns about the fullness and width of her nasal tip. Once again, by flattening the excessively convex tip cartilages a more refined tip contour is created. This patient's cartilages were also quite wide, necessitating conservative trimming of the cartilage as well. On profile, the patient wished to create a smaller, more feminine nose. A natural profile line was created while also deprojecting the nasal tip.

Hispanic woman with bulbous tip rhinoplasty before and after photos

Hispanic female showing bulbous nose repair, bridge refinement and tip deprojection

Nostril Narrowing

Having excessive width to the nostrils is another common issue that patients would like to have addressed during rhinoplasty. A variety of techniques are available to produce a natural reduction in the width of the base of the nose. This Hispanic rhinoplasty patient had a wedge excision of her ala in addition to a small excision of skin from the nasal sill.

Hispanic nostril narrowing with alar base reduction

This African American rhinoplasty patient was interested in limited changes to her nose, mainly wanting to reduce the width and flare of her nostrils. An excision involving the nasal sill allowed for improvement of the patient's nostril flare while not producing an overly narrowed nose.

African American nostril reduction with alar base excision

This Asian rhinoplasty patient who had a Japanese background wanted to narrow her wide nostrils. She had an alar base wedge excision done in addition to bridge augmentation using a cartilage graft.

Asian rhinoplasty frontal photo (click to see more photos of this patient)

This patient of African and Dominican descent also wanted to reduce how wide her nostrils appeared. Dr. Lamperti used a wedge excision technique to reduce the nostril flaring.

African-Dominican rhinoplasty nostril reduction Frontal View

African-Dominican rhinoplasty nostril reduction Base View

Tip Under Projection/Droopy Tip

Having a nasal tip that is under-projected and under-rotated is common feature more frequently seen in Hispanic patients. The result is a prominent hump to the nose, especially in the supratip area. This patient has this characteristic in addition to tip bulbosity. By increasing the patient's tip projection and rotating the tip defining points a conservative hump removal was all that was needed to refine the patient's bridge. Importantly, a masculine profile was maintained.

Hispanic male rhinoplasty before and after

Hispanic male rhinoplasty

This patient is another example of the effect of having an under-projected and droopy tip. Besides addressing the tip ptosis and under-projection Dr. Lamperti also improved the tip bulbosity and refined the bridge to create a straight, but natural profile.

Hispanic male rhinoplasty to decrease tip bulbosity

Hispanic male rhinoplasty to treat hump and bulbous tip

This patient is a good example of improving nasal aesthetics by enlarging the nose. This patient has very thick skin which limits the ability to make her nose smaller. By increasing the patient's tip projection the overlying skin envelope is stretched such that the nose overall appears smaller.

African American rhinoplasty increase tip projection

Nasal Bridge Hump

Like the noses of patients of any ethnicity one can find a nasal hump that a patient wishes to have treated. The following patient had her nasal bridge refined in addition to deprojection and slight rotation of her nasal tip. To further help balance her facial features a small chin implant was also placed.

Indian rhinoplasty hump reduction and chin implantation

This patient was looking for a subtle change to her bridge. Dr. Lamperti conservatively took down the bump on her bridge leaving a natural profile line.

African American rhinoplsaty hump reduction