African American Nose Job
Rhinoplasty: Nose Job
Nasal hump reduction correction of deviated septum. The after photo was taken 7 days after surgery.
Nasal aesthetics are critical in any Rhinoplasty. Our goal will always be to reshape the nose while maintaining your Aesthetic features. All incisions are well hidden within natural creases.
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Rhinoplasty: Natural Improvement
Combined Plastic Surgery/Dermatology including pigment correction, eyelift, cheek fillers chin augmentation, and nasal reshaping to achieve natural improvements.
Overall improvement in skin tone, cheek fullness, while preserving Ethnicity.
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Male Rhinoplasty
The objective with Male Rhinoplasty is to sharpen, enhance masculine features while avoiding feminizing "over done facial" work. Patient below underwent Dorsal Hump Reduction and slight tip elevation.
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Ethnic Rhinoplasty
Natural Improvements
Aesthetic Nasal refinements requires a series of precision surgical changes that are designed to reshape while preserving one's Ethnicity. We will use a combination of nasal bridge elevation,cartilage restructuring and narrowing of the nose to achieve refined natural improvements. The after photo was taken 4 weeks after surgery.
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Featured Cases
Please click the thumbnails below to view the images larger.
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FAQ
What is rhinoplasty?
This is a surgical procedure that is also referred to as nose job surgery or a "nose job."
What activities should I avoid after surgery?
You must avoid sniffling or blowing your nose for ten days following your rhinoplasty and for two weeks after your surgery, you need to avoid touching or bumping your nose, as well as limit how much you smile. If you cannot avoid sneezing, attempt to minimize how much of the force of the sneeze is conducted through your nose. You must also avoid wearing eyeglasses for a month after surgery. Sleeping on your side can change the orientation of the parts of your nose that are healing, so you must sleep on your back only.
Will my nose look perfect right after surgery?
Rhinoplasty before and after pictures will show a tremendous change in the appearance of your nose. You will have swelling in your new nose for three or four months after your procedure, and it will take about 12 months post-op for you to see the final appearance of your rhinoplasty results. It is unlikely to be perfect, but it will be a dramatic improvement over your old nose. Dr Evans will show you before and after rhinoplasty pictures of other patients to help you understand what results are and are not realistic.
What supplies will I need after rhinoplasty surgery?
During your recovery period from your nasal surgery, you will need SINECCH™ tablets (made from the herb Arnica Montana), Arnica gel, (may help with bruising), a bed wedge pillow, and a hot and cold compress eye mask. Our office will assist you with these items.
How much are nose jobs?
The cost of a nose job is dependent on the hospital where the surgery is performed as well as whether or not you have insurance coverage that may cover non cosmetic portions of your rhinoplasty .Because of the extreme variations in what may be needed for your nose job, it is best to schedule a consultation to determine costs.
Will insurance cover rhinoplasty costs?
Your insurance company may cover a portion of the cost of nose job surgery if your surgeon reports to them that the surgery is necessary to modify the nasal passages to make your breathing easier or for some other type of medical need. If you must cover the entire rhinoplasty price yourself, Our staff will offer financing options to make affordable rhinoplasty available to you.
Will rhinoplasty help me breathe better?
If you have nasal valve collapse, turbinate hypertrophy, deviated septum, or another type of anatomical defect, the condition may be addressed during your rhinoplasty nose surgery.
Does rhinoplasty surgery hurt?
It does; however, the amount of pain differs from one patient to another. The majority of patients characterize their pain level as moderate. The nose is packed with gauze after the surgery is completed, and this packing is normally the cause of most of the discomfort. The packing is removed 24 to 48 hours after surgery and for most patients, this relieves their pain significantly. Generally, the most intense pain occurs between the day after the procedure and the tenth day after the procedure.
What are the benefits of rhinoplasty?
The improvements achievable with a nose job include freer, more natural breathing; better physical appearance, and boosted self-assurance.
What are the risks associated with rhinoplasty?
Rhinoplasty surgery, like any surgery, has associated risks. The good news is that complications for a nose job before and after are out of the ordinary and if problems do happen, they are, as a rule, minor. Possible rhinoplasty risks can include adverse response to anesthesia, bleeding, and infection.
Who typically gets nose jobs?
Nose jobs have long been popular among celebrities and that trend of celebrity nose jobs continues. Today, though, nose jobs have become very common throughout all demographics of the population, from young people to older people, and in a range of ethnicities. At one time, most people who opted for a nose job were Caucasians, but now ethnic rhinoplasty among other groups is more popular than ever, and it provides a way for African-Americans, Asians, and Hispanics to have the nose they wish to have. Male rhinoplasty is another growing trend.
Am I a good candidate for rhinoplasty?
You are an ideal patient for rhinoplasty if you are physically and psychologically healthy and you expect improvement, but not flawlessness, in the appearance of your nose after surgery. Also, the majority of surgeons judge age to be a factor and usually recommend young patients put off rinoplasty until their growth spurt has ended.
Will I be put under general anesthesia?
Rhinoplasty by Dr Evans is performed using general anesthesia.General anesthesia offers the advantage of better airway control ,which is of paramount importance during an elective procedure.
What does a rhinoplasty procedure involve?
As with many surgical procedures, there is no single way to perform a nose job. Most techniques involve detaching the skin of the nose from the underlying structure of bone and cartilage with an incision made inside the nose or with an incision outside the nose in the tissue between the two nostrils-an "open" surgery. Next, Dr Evans will perform nose reshaping, repositions the skin on top of the new structure of bone and cartilage, and places a splint to help maintain the new shape of the nose while it heals.
How long does it take to recover from rhinoplasty?
Rhinoplasty recovery is a time-intensive process that progresses by degrees. A slight amount of swelling may remain for a period of months after your surgery, but most patients return to school or work within one to two weeks post-op. More demanding physical activities can be resumed by most patients within two to three weeks. Your surgeon can show you nose job before after photos to give you an idea of how typical healing progresses.
How long can I expect the results to last?
The outcome achieved with rhinoplasty is permanent, not counting changes that result from the natural aging process.
Will rhinoplasty hurt?
For the most part, no. General or "twilight" anesthesia is used during the surgery so you will not feel any pain. Once your surgery is done, you can anticipate soreness in your nose for about a week, but you are unlikely to have any pain. One of the best ways to educate yourself about different aspects of undergoing rhinoplasty (including the discomfort involved) is to participate in a rhinoplasty forum online. Ask questions of forum members who have had nose jobs and discuss their answers with your surgeon during your pre-op consultation.
How long will I need to take off for work?
You should plan to be away from your job for about two to four days, depending on the kind of anesthesia you received during your surgery. If the surgeon reshapes your nasal tips, it is possible you will have bruising for ten to 14 days afterwards and for about seven days after you will wear a splint to protect the nose. For a minimum of two weeks post-op, you should refrain from strenuous exercise.
What if I want to improve my nose, but I want to avoid an "operated" look?
This concern is one you share with the majority of patients who are thinking about having rhinoplasty. At one time, the objective of a nose job was to make every patient's nose resemble the nose shape popular at the time-more petite and slightly upturned. Today, that philosophy has changed and most plastic surgeons believe a nose job should be a customized enhancement that complements each individual patient's face. Pictures of most rhinoplasty patients' nose jobs before and after show just slight differences. The positive aspects of the patient's nose are retained while the negative aspects are refined to improve how the aesthetics of the nose blend with the entire face.
Can I make small changes to my nose without having surgery?
Definitely. There are non surgical techniques available to reshape your nose. One option, dermafillers, have grown in popularity because they make it possible to achieve the goals you have in mind in under 60 minutes, but they also do not require you to take time away from work, school, or your regular activities.
Will my nose need to be broken?
The need to do this is based on your nasal anatomy and also the aesthetic outcome you want to achieve. In certain cases, Dr Evans may be able to carve away bone that must be removed rather than totally fracture it. It is worth noting that, if your rhinoplasty is performed poorly, your nose may break very easily if it is struck in the future.
How soon before I can exercise?
Within three or four days after your rhinoplasty, you will be capable of getting back to your job and your regular routine; however, many surgeons will encourage you to hold off on exercise and other forms of physical exertion for two weeks after your surgery to ensure your nose heals properly.
How long will I need to wear bandages and stay out of the public eye?
The recovery from a rhinoplasty is not really all that long. Five days post-op, you can take off your bandages. Although you will notice a certain amount of swelling and redness at first, you should be comfortable enough with your appearance to go out in public by seven to ten days following your surgery.
Is there a difference in surgical procedure between different ethnicities?
All human faces have a common underlying structure, but there are variations that result from different heritages, and those variations are particularly evident with the nose. Dr Evans will use precise techniques for every ethnic nose job; however, alterations in the surgery may be made based on the patient's ethnic roots and their desired results.
I like my nose, but something seems off and I can't decide exactly what I need?
Many patients have this same situation: they are unhappy with their nose but cannot really describe the cause of their dissatisfaction. Dr Evans can guide you in reviewing each part of your nose in relation to the rest, and that may help you identify the aspects of your nose that you may wish to change.
Top rhinoplasty surgeons are highly trained and experienced in performing rhinoplasty and are able to design an individualized treatment plan to meet your specific goals. One of the most challenging areas of the nose to modify is the tip because it can be easily over-rotated or over-defined if careful attention is not paid to the modifications. Because this type of subtle yet influential change demands a considerable amount of detailed work, it is not considered to be a limited procedure.
How much does a nose job cost? Will my insurance pay for my rhinoplasty procedure?
How much is rhinoplasty going to cost you? It depends on the specifics of your case and your goals. By and large, insurance policies do not pay for entirely cosmetic surgeries; however, your insurance company may pay for part of your rhinoplasty if it is necessary to alleviate problems with breathing through your nose or to correct a deformity that has resulted from a trauma.
What is revision rhinoplasty?
Also called "secondary rhinoplasty," this is a second nose job. A patient may choose to undergo another nose job for several reasons, including suffering an injury that changed the results of their previous nose job, a previous nose job that was done improperly (rhinoplasty gone wrong or "bad nose jobs"), or to address a minor flaw remaining after the first nose job with which the patient is unwilling to live. Revision rhinoplasties have particular challenges so these patients should make sure they go to revision rhinoplasty specialists. He or she has the specialized training and experience that will allow him or her to perform the revision successfully. Many surgeons who perform rhinoplasties and revision rhinoplasties also perform nose reconstructions. This type of surgery is done to restore a normal appearance to a nose from which tissue has been lost due to trauma or the removal of tumors.
I am of African-American decent and have wide nostrils that I feel are too large for my face. Is there a procedure that can be done to address this?
Among people of African-American heritage, this is an occasional request and many individuals seek out to decrease the width of their nose . Dr Evans advises against undergoing a radical surgery to narrow the width of the nostrils; the result can be an unnatural look that suggests that surgery has been done. Rather, Dr Evans advises that the best nose jobs modify the nasal tip, as well as the dorsal hump, or bridge, along with the nostrils to create a balanced result. This method of sculpting the nasal tip and bridge allows the surgeon to bring symmetry to every area of the nose and create harmony between the nostrils and the other parts of the nose, along with a complementary relationship with the face as a whole.
I have noticed that many Asian-Americans have a very low dorsal hump, or bridge. Is there a way to build the bridge non surgically?
A low bridge is a characteristic among some patients of Asian-American decent (as well as some Caucasion ,Hispanics and African Americans). For those Asian rhinoplasty patients who wish to heighten their bridge without surgery, they may be candidates for augmentation using a dermafiller such as Restylane or Radiesse or they may require a more permant implant to elevate the bridge of their nose.
What are some of the most common procedures desired by Asian-American and African-American patients?
Dorsal convexity, more commonly known as a nasal hump, is common among people of Mediterranean and Latin heritage. On the other hand, a lack of a nasal hump is common among people of African-American and Asian-American heritage. If an African-American or Asian-American patient desires to build up the bridge of their nose with augmentation rhinoplasty, it can be done with a surgical implant (your own tissue or prefabricated material) or in some cases ,it can be done without surgery, using dermafillers such Radiesse.
What are the advantages of a surgical vs non surgical rhinoplasty?
Dr Evans will be able to treat all the areas of your nose that trouble you with procedures such as tip rhinoplasty and bridge augmentation or reduction. Also included is the building up or reduction of nasal convexity, the nasal hump, addressing imbalances in all areas of the nose, and revising tip definition and rotation. A non surgical nose job may be appropriate when only a minimal modification is required. This includes changing a small portion of dorsal convexity or enhancing the nasal hump. On the other hand, surgery is required to address cases of severe asymmetry and tip definition.