Tip Nuances for the Nose of African Descent

Abstract

Patients of African descent are seeking rhinoplasties today more than ever. As a result, the rhinoplasty surgeon must be aware of the ethnic, cultural, anatomic, and surgical issues pertaining to this patient population. In this article, the nuances of rhinoplasty as it pertains to the nasal tip in patients of African descent are discussed.

Keywords

rhinoplasty - ethnic - nasal tip - African - African-American

• References

• 1 American Academy of Facial Plastic and Reconstructive Surgery 2009 membership survey: trends in facial plastic surgery. Available at: http://www.aafprs.org/media/stats_polls/aafprsMedia2010.pdf . Accessed September 9, 2010
• 2 Report of the 2009 statistics, American Society of Plastic Surgeons. National Clearinghouse of Plastic Surgery Statistics. Available at: http://www.plasticsurgery.org/Documents/Media/statistics/2009-US-cosmeticreconstructiveplasticsurgeryminimally-invasive-statistics.pdf . Accessed September 9, 2010
• 3 National population projections by age, sex, race, and Hispanic origin: 2008 to 2050, U.S. Census Bureau. Available at http://www.census.gov/population/www/projections/2008projections.html . Accessed September 9, 2010
• 4 Sturm-O'Brien AK, Brissett AE, Brissett AE. Ethnic trends in facial plastic surgery. Facial Plast Surg 2010; 26: 69-74
• 5 Ofodile FA, Bokhari FJ, Ellis C. The black American nose. Ann Plast Surg 1993; 31: 209-218 ; discussion 218–219
• 6 Safian J. A critical review of recent literature on rhinoplasty. Plast Reconstr Surg (1946) 1947; 2: 463-473
• 7 Ofodile FA. Nasal bones and pyriform apertures in blacks. Ann Plast Surg 1994; 32: 21-26
• 8 Adams Jr WP, Rohrich RJ, Hollier LH, Minoli J, Thornton LK, Gyimesi I. Anatomic basis and clinical implications for nasal tip support in open versus closed rhinoplasty. Plast Reconstr Surg 1999; 103: 255-261 ; discussion 262–264
• 9 Brissett AE, Sherris DA. Changing the nostril shape. Facial Plast Surg Clin North Am 2000; 8: 433-445
• 10 André RF, D'Souza AR, Kunst HP, Vuyk HD. Sub-alar batten grafts as treatment for nasal valve incompetence; description of technique and functional evaluation. Rhinology 2006; 44: 118-122
• 11 Zhu JH, Lee HP, Lim KM, Lee SJ, Wang Y. Evaluation and comparison of nasal airway flow patterns among three subjects from Caucasian, Chinese and Indian ethnic groups using computational fluid dynamics simulation. Respir Physiol Neurobiol 2011; 175: 62-69
• 12 Toriumi DM. New concepts in nasal tip contouring. Arch Facial Plast Surg 2006; 8: 156-185
• 13 Ofodile FA, Bokhari F. The African-American nose: Part II. Ann Plast Surg 1995; 34: 123-129
• 14 Gunter JP, Rohrich RJ, Adams WP. Dallas Rhinoplasty: Nasal Surgery by the Masters. St. Louis, MO: Quality Medical Publishing; 2002
• 15 Kridel RW, Konior RJ. Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg 1991; 117: 411-415
• 16 Ketcham AS, Han JK. Complications and management of septoplasty. Otolaryngol Clin North Am 2010; 43: 897-904
• 17 Kridel RW, Ashoori F, Liu ES, Hart CG. Long-term use and follow-up of irradiated homologous costal cartilage grafts in the nose. Arch Facial Plast Surg 2009; 11: 378-394
• 18 Byrd HS, Andochick S, Copit S, Walton KG. Septal extension grafts: a method of controlling tip projection shape. Plast Reconstr Surg 1997; 100: 999-1010
• 19 Peck GC. The onlay graft for nasal tip projection. Plast Reconstr Surg 1983; 71: 27-39
• 20 Sheen JH. Achieving more nasal tip projection by the use of a small autogenous vomer or septal cartilage graft. A preliminary report. Plast Reconstr Surg 1975; 56: 35-40
• 21 Gunter JP, Rohrich RJ. External approach for secondary rhinoplasty. Plast Reconstr Surg 1987; 80: 161-174
• 22 Kang JG, Ryu J. Nasal tip surgery using a modified septal extension graft by means of extended marginal incision. Plast Reconstr Surg 2009; 123: 343-352
• 23 Matory Jr WE, Falces E. Non-Caucasian rhinoplasty: a 16-year experience. Plast Reconstr Surg 1986; 77: 239-252