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  • Each race and ethnicity has certain nasal features that tend to prevail, and Caucasians are no exception.

    However, not all Caucasian noses possess these characteristics, and no two noses are the same. Rhinoplasty surgeons take special care to study each nose individually by touching and viewing both the external and internal features. Each Caucasian rhinoplasty is tailored to the individual based on the findings of this examination as well as the personal goals of the patient.

    What are common concerns for a Caucasian patient seeking rhinoplasty?

    Caucasian rhinoplasty patients often see to correct one or more of the following:

    • Nose that is too big for the face
    • Bump on the bridge of the nose
    • Undefined or unattractive nasal tip
    • Uneven or asymmetrical nostrils
    • A congenital defect (present at birth) that compromises breathing function
    • Twisted or deviated nose caused by injury or trauma (sports, car accident, etc.)

    What is the common structure of the Caucasian nose?

    The typical Caucasian nose is long and narrow, with thin nasal skin, sturdy cartilage and a slim tip.

    But, each person’s nose is different. And in fact, some people with “typically Caucasian-looking” noses don’t like the way their noses look.

    Techniques Used in Caucasian Rhinoplasty

    A Caucasian rhinoplasty procedure typically consists of alterations to the skin, underlying cartilage, nasal lining and bone. The surgeon may make any of the following alterations — or a combination of them — depending on the needs and desires of the patient:

    • Reduce and/or reshape the width of the nostrils
    • Reduce or remove a nasal bump
    • Alter the angle between the tip of the nose and the upper lip
    • Place tissue/cartilage grafts to alter the size and/or shape of the nose
    • Fix nose injuries and/or defects to improve breathing
    • Perform other procedures that may complement a patient’s rhinoplasty procedure, such as necklift or facelift

    It should be noted that because the majority of patients who choose to have rhinoplasty are Caucasian, the techniques used in this type of nose surgery have undergone more development and refinement, and many facial plastic surgeons have more experience using these techniques and achieving better nasal breathing.

    Each rhinoplasty procedure must be customized to the individual patient’s needs and wishes. while taking into account the patient’s ethnic background. As with any other race or ethnicity, there are certain anatomical features such as thin nasal skin that are very important to consider. Therefore, it is imperative that patients locate a facial plastic surgeon that has experience with this form of rhinoplasty as well as a track record of good results.

    What is the goal of Caucasian rhinoplasty?

    The goal of all rhinoplasty procedures is to produce a symmetrical, beautiful nose that is functional (good breathing) and fits well with the other features of the face. However, it is important to have realistic expectations of the procedure. Caucasian rhinoplasty is not a life-altering procedure that will improve every aspect of a patient’s life. In some cases it may slightly improve self-confidence and happiness.

    Challenges of Caucasian Rhinoplasty

    A challenge that facial plastic surgeons face when performing Caucasian rhinoplasty is the fact that Caucasians typically have very thin nasal skin. This can pose problems if the patient desires a more prominent nasal tip or bridge, because any grafts added to achieve this are more likely to show through the skin. As a result, it is important for the surgeon to take special care to hide any grafts and construct a soft nasal structure that only shows where it should. Dr. Rizk has developed two techniques to achieve this. First, to thicken the skin, he adds a soft barrier comprised of Alloderm (a tissue matrix comprised of natural tissue) or temporalis fascia (a graft taken from the thin sheath of fibrous tissue covering the temporalis muscle) between the nasal skeleton and the skin. He also uses state-of-the-art powered instrumentation to smoothen the edges of any grafts used in the procedure.

    On the flipside, one advantage patients with thin skin have is that they see results faster and usually have less postoperative swelling. (In contrast, many patients of other ethnicities have thick skin that is more durable but does not stretch or contract as well.)

    For Caucasians, the best way to achieve a positive result that preserves their unique ethnic traits is to select a board-certified facial plastic surgeon that specializes in Caucasian rhinoplasty and regularly performs such cases. The surgeon should focus exclusively on rhinoplasty and other facial plastic procedures and should have significant experience with different rhinoplasty procedures (primary/secondary rhinoplasty, Caucasian rhinoplasty, etc.). Begin your search for a board certified facial plastic surgeon at American Academy of Facial Plastic and Reconstructive Surgery’s website.

    American Academy of Facial Plastic and Reconstructive Surgery - logo American Academy of Facial Plastic and Reconstructive Surgery
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