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Rhinoplasty (nose surgery) is one of the more popular cosmetic plastic surgery procedures. Because nose is the central part of the face, it largely determines the overall balance of the facial features. A nose that is too small or too large, crooked or humped can diminish the aesthetic harmony of the face, as well as make the patient feel less attractive and self-conscious. In order to address these concerns, Dr. Jill Hessler offers several sophisticated rhinoplasty techniques, including ethnic rhinoplasty in San Jose / Palo Alto.
The goal of ethnic rhinoplasty is the same as the goal of “standard” rhinoplasty – to create a beautiful nose that will complement the other facial features. The difference is that plastic surgeons experienced in ethnic rhinoplasty are able to take into account various factors specific to certain ethnicities, such as skin thickness, nasal bone density, nostril configuration and nasal bridge length. Dr. Jill Hessler is one of the more experienced ethnic nose surgery providers in San Jose / Palo Alto. She has years of experience helping Asian Americans, Hispanic Americans and African Americans enhance the beauty of the nose and face while preserving their unique ethnic characteristics.
Ethnic Rhinoplasty: Special Considerations
Dr. Jill Hessler understands that the best results can be achieved only through customized procedures. This is especially true regarding ethnic rhinoplasty treatments. Dr. Hessler personally meets with all of her ethnic nose surgery patients prior to their surgical treatments. She asks patients to describe their concerns and how they would like the nose to look after surgery. Together with the patient, Dr. Hessler explores various surgical options and agrees on the most appropriate surgical plan.
Some of the unique characteristics Dr. Hessler takes into account include skin type, cartilage thickness and nasal bone length. In patients of African and Hispanic descent, the nasal skin tends to be thicker. The thicker skin means that they usually show fewer signs of aging, but it also means that the surgeon must take special precautions during surgery. In addition, some African American patients can have larger, more open nostrils that might need to be adjusted during rhinoplasty.
Asian Americans also often have thicker skin and weaker cartilage. In addition, the nasal bones in these patients tend to be shorter. In order to enhance the harmony of the face, Dr. Hessler might use techniques that lengthen the nose and raise the profile of the nose. This can be performed with cartilage from the patient’s septum, ear or rib. Implants are also available. The profile and side view of patient’s face, including the chin, are important considerations during cosmetic ethnic rhinoplasty. A small or under-projected chin can make an appropriately sized nose seem too large while the converse is also true.
Similarly, Dr. Hessler takes the entire patient into consideration with her ethnic rhinoplasty patients. The rotation, or amount of upturn or downturn to the tip of the nose, must be evaluated in respect to other physical attributes. It is most fitting for a taller patient to have less rotation or upturn to the nose. On the other hand, a shorter individual can tolerate slightly more rotation.
Ethnic Nose Surgery: Common Techniques
Every patient who pursues rhinoplasty has a unique nose and requires a unique, comprehensive treatment approach. Which approach is the best for you can be determined only during a personal consultation with Dr. Jill Hessler. Below is a list of some of the more common ethnic rhinoplasty techniques.
Cartilage Grafting to Radix. The goal of this procedure is to lengthen the nose. This is done by adding a small cartilage graft to the upper part of the nose close to the eyebrow line. As a result, the nose “begins” higher in the face, thus creating the illusion of a longer, more refined nasal contour.
Nasal Bridge Augmentation. Many ethnic rhinoplasty patients feel that their nose is too “flat.” This concern can be addressed by augmenting the nasal bridge with a cartilage graft. There are many different techniques for cartilage grafting. Cartilage can be obtained from the septum, which is often performed if addressing breathing problems at the same time. For minor refinements ear or auricular cartilage can be used. This does not change the shape or contour of the ear and the incisions are on the back side of the ear so they are not visible following your cosmetic ethnic rhinoplasty procedure. If greater augmentation of the nasal bridge is needed, there are two effective options using your own materials – cartilage from the septum or ears. These can be diced into small pieces and wrapped in your tissue to create a smooth natural contour of the nasal bridge. Alternatively, a small incision can be made on your chest to obtain a piece of cartilage from your rib which can be used for ethnic nasal bridge enhancement.
Nasal Tip Refinement. The shape of the nasal tip is a common concern among both ethnic and “traditional” rhinoplasty patients. The tip might be too broad, pointed, crooked or injured as a result of accidents or illness. Some patients complain of a lack of definition or a ‘bulbous’ nasal tip. In order to create better definition of the nasal tip, Dr. Hessler uses multiple techniques, including tailored sutures, cartilage reshaping and cartilage grafting. An important consideration for Asian rhinoplasty patients and other ethnic rhinoplasty patients with thick skin is to maintain adequate support of the nasal tip cartilages. While reducing the cartilage can be cosmetically favorable in the short term, surgeons always need to be cognizant of the long term support and function of the nose. With background experience and training in Otolaryngology and Facial Plastic surgery, Dr. Jill Hessler has the experience to not only provide the most pleasing cosmetic results but also to improve breathing and long term support of the nose. By adding cartilage grafts to the nasal tip, Dr. Hessler can enhance or decrease the projection of the nasal tip in order to bring it in balance with the other facial features.
Nasal Base Reduction. The size of the nostrils is another common concern among ethnic rhinoplasty patients. Some African American and Hispanic American rhinoplasty patients have wide, open nostrils. If these nasal characteristics interfere with the balance of the face, they can be adjusted by reducing the nostril size. This is done by making a small incision along the side of the nostrils. A meticulous sutured closure is performed by Dr. Hessler to minimize any sign of the incision.
Nasal Bridge Straightening. Many patients of Jewish and Middle Eastern descent desire to remove a prominent nasal hump. This goal is often accomplished by removing some of the nasal bone and cartilage.
Ethnic Nose Surgery in San Jose / Palo Alto
Before your nose surgery, Dr. Jill Hessler will give you a list of things you should and should not do, such as avoiding second hand smoke, discontinuing certain over-the-counter medications which can thin your blood, and eating a healthy diet. Medications such as Aspirin, Ibuprofen, Motrin or Aleve should be avoided prior to any cosmetic surgery procedure with Dr. Hessler. Please see the plastic surgery office forms section for a complete list of medications to avoid. In addition, Dr. Hessler might prescribe certain topical medications to prepare your nasal skin for surgery. Because darker skin types are prone to scarring, Dr. Hessler might recommend a special skin bleach therapy to minimize this risk. In addition, she might recommend microdermabrasion to smooth the skin and prepare it for surgery.
On the day of surgery, patients are given either sedation or general anesthesia depending on the extent of the planned cosmetic rhinoplasty surgery procedure. The surgery might last anywhere from 1 – 4 hours. Ethnic rhinoplasty often takes longer time to complete because of the more comprehensive nature and various special factors that need to be addressed. For these reasons, most ethnic nose surgery procedures are performed using the open approach – i.e., by creating a small incision in the skin between the nostrils and the tip of the nose. After the procedure, the nose is wrapped in special bandages, and a splint might be applied. The initial recovery period lasts about 7-10 days, at which time most ethnic rhinoplasty San Jose / Palo Alto patients are able to return to work. A nasal splint is often placed over the bridge of the nose for one week following your procedure. Dr. Hessler will remove this external splint in her Palo Alto plastic surgery office a week after your procedure. Some swelling will still be present for another week. In general, patients can resume exercise and their full regular activity after two weeks of recovery. The final results usually become apparent within six months after the treatment.
Schedule a Consultation for Ethnic Rhinoplasty in San Jose Today
If you’ve always been concerned with the shape of your nose, schedule a one-on-one appointment with Dr. Jill Hessler and learn how ethnic rhinoplasty can help. You can set up your consultation by calling her offices at (650) 799-9009.