Richmond Virginia RhinoplastyEthnic Rhinoplasty (Surgery of the Nose)

Exploring ethnic rhinoplasty, nasal surgery, & sculpture of the Black nose by Dr. Michael Bermant, MD plastic & cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

Rhinoplasty surgery of the nose Surgical Craftsmanship Nasal surgery and rhinoplasty plastic surgery Your Special Needs Cosmetic surgery of the nose and rhinoplasty Individualized Education Rhinoplasty cosmetic nasal surgery Tender Care plastic surgery of the nose and rhinoplasty Personalized Service rhinoplasty surgery of the nose Become Comfortable Bermant Nasal Plastic Surgery and Rhinoplasty

The Black Ethnic Nose Rhinoplasty Surgery

Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African AfroamericanRemoval of the dorsal hump (bump on the top of the nose) required lowering the deformity of both cartilage and bone. This was done through an open rhinoplasty. An incision was made through the skin of the columella (post of tissue between the nostrils. The cuts continued inside the nose. Tissue was then elevated just above the cartilages. A series of rasps (very sharp surgical files) then removed the extra bone and cartilage. Scissors and scalpels than finely trimmed the remaining extra cartilage. I sometimes also use some very sharp chisels to perform this surgical sculpture. You can see a movie of this surgical technique. Since the images are graphic, you may want to skip this demonstration. Click on the central image for a larger version and anatomy details.

Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican

Before
Rhinoplasty

Bone /
cartilage hump

After
Rhinoplasty 2 Weeks

 

Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican

The depression between the nasal tip and hump turned out to be accentuated by thicker than normal nasal transverse muscles. These muscles needed to be surgically released to permit the skin to naturally redrape. This unusual step is not normally necessary. Rhinoplasty sculpture may require many techniques including intraoperative improvisation.

I also refined the nasal tip by narrowing very slightly the width of the lower lateral cartilages. These cartilages hold up the lowest parts of the nose the ala. The reduction can improve the gradual roundness of the tip.

Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican

To reduce the width of the nose, the bones and attached cartilages needed to be moved medially (inward). A balance must be maintained between the upper and lower parts of the nose. An alar base and nostril sill skin resection moved the lower nose together.

Before
Rhinoplasty

After Rhinoplasty
2 Weeks

Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican

Wide bones & cartilages
Click here for larger image

Red =
bone sculpture

 

Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican
Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican

An alar base and nostril sill skin resection moved the lower parts of the nose together. This reduces nostril flair and interalar distance. The wide lower nose was this patients greatest concern.

Seen from below the changes are dramatic. As the interalar width was reduced, the tip came up. The entire dorsum was designed to come up together. The upper part of the nose moved with the bone infractures.

Bermant plastic and cosmetic surgery rhinoplasty septoplasty nose nasalBermant Plastic and Cosmetic Surgeon Rhinoplasty nasal nose surgery septoplasty

Rhinoplasty Nasal Surgery Important Information

Learn more about rhinoplasty surgery of the nose

Open Rhinoplasty - Photographic details during surgery of the Black nose (warning graphic pictures).

Open Rhinoplasty - Pictures of dorsal and tip sculpture during surgery (warning graphic photographs)

Patient Pictures before and after surgery

Rhinoplasty Experiences Discussions, Forum, and Chat

Nasal Obstruction Septoplasty and Other Nose Discussion Groups, Forum, and Chat

rhinoplasty before nose job before before rhinoplasty nose rhinoplasty before septorhinoplasty before rhinoplasty before before rhinoplasty and septoplasty before septorhinoplasty
rhinoplasty after nose job after after rhinoplasty nose rhinoplasty after septorhinoplasty after rhinoplasty after after rhinoplasty and septoplasty after septoplasty - rhinoplasty
nose job before rhinoplasty before rhinoplasty female before before rhinoplasty rhinoplasty before before rhinoplasty before rhinoplasty
nose job after rhinoplasty after rhinoplasty female after after rhinoplasty rhinoplasty after after rhinoplasty after rhinoplasty

Bermant Plastic Surgery
About Dr. Bermant

Bermant plastic surgery cosmetic surgeon
Find us

Bermant Plastic Surgery http://www.plasticsurgery4u.com
Multimedia Lectures

Bermant plastic surgery cosmetic surgeon
Kid's view

Bermant plastic cosmetic hand and reconstructive surgery

Other Bulletin boards

Nasal Obstruction Septoplasty and Other Nose Discussion Groups, Forum, and Chat

Rhinoplasty Bulletin Boards

Rhinoplasty nasal surgery of the nose

Learn about nasal reconstruction.

Rhinophyma Acne Rosacea sculpting nasal deformity.

  Bermant Plastic Cosmetic Hand and Reconstructive Surgery
PlasticWeb

Other Nasal Topics

Bermant Plastic Hand Cosmetic and Reconstructive Surgery
PlasticArt

Tour of Nasal Deformity in Art

Nasal deformity, is it bothering you?

Nasal hump and drooping tip deformity

Deformity after nasal fracture

Nasal tip loss

  Bermant Plastic Hand Cosmetic and Reconstructive Surgery
Home

 

Site
Map

Search
This Site

How to
Learn More

Dr. Bermant

Bermant Plastic Surgery Encyclopedia.

Prices

Body Shaping
Without Surgery

Guide to
Richmond

How To Choose Your
Plastic Surgeon

Bookmark and Share This Resource.

 
Our Encyclopedia
Our Facebook Page
Like This Page

Bookmark Facebook Google Yahoo Bookmarks BlinkList Technorati Reddit Mixx MySpace Diigo Delicious

Integrated Discussion Board
If you like what you see and have learned here, come join our A Body Beautiful Plastic Surgery Forum: a meeting place for

  • those with concerns,
  • those willing to share experiences,
  • and doctors with a passion for certain problems to demonstrate their solutions.

Follow us on Twitter, , Linked in, and Facebook.

Send E-mail to Dr. Bermant

Michael Bermant, MD
Retired Plastic Surgeon

Social Networking

Retirement and Closure of Practice as of 8/31/2011.

ASPS - American Society of Plastic Surgeons

Life Member of the American Society
of Plastic Surgeons, Inc.

Shop at The Surgery Store for your skin care, comfort, and recovery needs.

Hear Dr. Bermant's Multimedia Lectures in your community

Find this site useful? Tell a friend!

Search for a Book from Barnes and Noble

© 1996-2012 Michael Bermant, MD

Legal Information - Privacy Policy - Using Before After Photos

This page last updated on: April 21, 2012

ASAPS - American Society for Aesthetic Plastic Surgery

Life Member of the American Society
for Aesthetic Plastic Surgery, Inc.
Board Certified American Board PS Board Certified American Board
of Plastic Surgery