“Ethnic rhinoplasty” is a misleading, all-encompassing term used to describe rhinoplasty in people of non-Caucasian descent. Whilst the noses of all races and genders can have various factors in common and that are different, I will discuss briefly the reasons why people of Afro-Caribbean decent often seek Rhinoplasty and how these issues are addressed.
For noses that are wide and flat the key is to narrow the bridge of the nose, increase the nasal tip projection and increase tip definition. I do this by cutting the nasal bones using the Piezotome and pushing them closer together to reduce the width of the nasal bridge.
The Piezotome allows a more accurate and precise method by which to cut the bones and avoids damage to the surrounding soft tissue than traditional methods. A cartilage graft is sometimes used to further augment the height of the bridge. I also strategically place cartilage grafts to increase tip definition and give nasal projection. An alar base excision can be performed to narrow the width of the nostrils. However, this must be done very carefully to prevent deforming the shape of the nostrils which can result in an unsightly “triangular” appearance. Steroid injections after surgery can be helpful to increase tip definition by thinning the thick nasal skin.
"...the Piezotome allows a more accurate and precise method by which to cut the bones and avoids damage to the surrounding soft tissue than traditional methods"
Six months after revision rhinoplasty, patients can expect significant improvements in nasal shape and function, though subtle changes may continue for up to a year. While most swelling has subsided by this point, full recovery typically takes 12 to 18 months. It’s important not to rush into additional revisions too soon, as the healing process is ongoing. Patients should also consult their surgeon before resuming activities like wearing glasses. Key differences between the six-month and one-year mark include final contour refinement and residual swelling resolution.
At two months post-rhinoplasty, most patients will see significant external improvements in their nasal shape as swelling and bruising subside. However, minor residual swelling, particularly around the tip or nostrils, is normal and may persist internally for several more months. Patience is essential during this phase, as complete healing can take up to a year. Consistent follow-up care and adhering to post-operative instructions are crucial for achieving optimal results.
Six months after ultrasonic rhinoplasty, patients typically see significant improvements in both the appearance and function of their nose. Swelling has largely subsided, revealing more refined results, though subtle changes may continue for several more months. Breathing should also improve for those who had functional corrections. It's normal to experience some residual swelling or slight asymmetry at this stage, but patience is essential as full healing can take up to a year or longer. Consulting with your surgeon before considering any revisions or high-impact activities is crucial to ensure optimal recovery.