Nose Surgery for Black People
Rhinoplasty, or nasal surgery, is becoming increasingly popular among African Americans. For masons ranging from cosmetic to medical, more and more members of our community are opting to resculpt and shape their nasal features with procedures such as narrowing the nostrils and tip, augmenting or reducing the nasal dor - sum or bridge and reducing nasal humps while also repairing internal problems which may impair the ability to breathe nominally.
Trends show adults between the ages of 20 and 40 are opting to alter their features, 80 percent of whom are women. In my practice, glaringly patients are not wanting a drastic change, but a slight refinement of one or two features while still maintaining their ethnicity. Rhinoplasty is a safe and viable option.
The rhinoplasty procedure actually begins in the consultation cut when the surgeon and the patient discuss their expectations for the outcome of the surgery. The aid of a record imaging machine in this process can illustrate potential results. The changes " forecasted " on - screen should be as natural looking as inherent while also in harmony with the client's other facial features, i. e. men should maintain a strong bridge and taller individuals should have a slightly longer nose with a conservative upward rotation of the tip. An illustration of this was a case wherein an African - American woman in her 40s came to me requesting a " Farrah Fawcett " nose. My immediate enterprise was to demonstrate how her broad, rounded features simply would not be in harmony width a sharp, narrow nose. She had almost no bridge, ( which, as she complained, made it impossible to wear glasses ) and a immense rounded tip. With the aid of the video imaging machine, we created an image of a nose that complimented her own features.
Through rhinoplasty surgery, I narrowed the tip of her nose, as well as her nostrils and built up the bridge of her nose. The result was a slightly more defined nose which remained within the realm of her ethnicity.
Another important occasion to consider effect this initial period is the client's susceptibility to scarring. Through examination of existing scars, the surgeon should be able to standard the patient's susceptibility to keloids, or thick scars resulting from excessive growth of fibrous tissue. An internal method of operation is preferable wherein the incisions are placed inside the nose and hidden from view, further reducing the occurrence of visible scarring and keloids.
The new techniques in anesthesia avow rhinoplasty surgery to be performed under a local anesthetic with intravenous sedation. An external splint is instrumental after the procedure to keep the nasal bones stable and can be removed in one week. Office - operative pain, bruising and swelling are minimized by pain medications and cold compresses applied to the nose. After six weeks, the nasal bones are usually stable.
The cost of a rhinoplasty varies with geographical location. Generally fees tend to be extra on the extreme East and West coasts. In the Southwest, as in Houston, fees are more reasonable and range from $2, 500 to $5, 000. Insurance may cover surgery for intemal deformities that limit the patient's ability to breathe normally, supplementary reducing out - of - pocket expenses.
Rhinoplasty should be performed by a board certified surgeon experienced in otolaryngology ( ear, nose and throat surgery ) or a plastic surgeon with extensive experience effect this reservation. The initial consultation should be an ideal opportunity for the client to establish a rapport with the physician. Speaking openly with the surgeon ensures there is a " meeting of minds " with regard to expectations and realistic results. Together the sodden and patient can create a more positive self reflection for the patient.
Source: Crisis (00111422); Jan94, Vol. 101 Issue 1, p14, 1p, 1bw
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