Beauty lies in the eye of the beholder. That beholders view may be affected by a multitude of various factors, which include social media, age, gender, cultural and geographical surroundings. In the context of rhinoplasty, your ethnicity is a central element acting alongside the broad spectrum of permanent and constantly changing influences. The goal of ethnic rhinoplasty is to subtly enhance the appearance of the nose, by creating a natural result that does not interfere with the heritage of your face.
Success in ethnic rhinoplasty is based on a thorough understanding of the anatomical nuances of each ethnicity, and being able not only to offer a broad spectrum of surgical techniques in accordance to the individual anatomy, but also a thorough understanding of nasal features that contribute to your ethnic identity.
What is the goal of ethnic rhinoplasty?
Rhinoplasty surgery aims to improve the contours of your nasal appearance. This includes the size and width of the nose, the profile of the bridge and the shape of your tip. Increasing the projection of the bridge, refining the tip contour, or narrowing the alar base are common goals during ethnic rhinoplasty.
What are the benefits of ethnic rhinoplasty?
Ethnic rhinoplasty allows patients to achieve a nasal contour they prefer. It allows patients to enhance their appearance in a safe and natural way without losing characteristic features of their ethnicity. This can increase self-confidence and quality of life.
However, it is important to remember, that even though a beautifully contoured nose may be seen a success, it does not guarantee an improvement of self-esteem or self-confidence in every patient.
Before your procedure
Understanding how you feel about your nose is key to understand your aesthetic goals. Mr. Bran will place a lot of emphasis on that particular detail by listening carefully and assessing every detail of your nose as you describe areas of concern. He will then review your medical history and perform an endoscopic exam of your nose. This will include analysis of your nose when speaking and smiling and functional assessment of your nose when breathing with your mouth open and closed. During your consultation photographs will be taken for your medical record. Using computer-assisted simulation programs he will then morph your nose in accordance to your personal aesthetic goals and realistic outcomes. Once a a new shape for your nose has been identified, Mr. Bran will explain each detail of his tailored surgical approach to you. Appreciating your personal aesthetics, managing your expectations and elaborating a realistic goal is key to planning a successful rhinoplasty journey.
Preparing for your ethnic rhinoplasty
Preoperative assessment is critical in order to select appropriate patients for eyelid surgery. Apart from a physical examination you will have a discussion about your current and past medical history, and any medication you are currently taking or have recently taken. You will be asked about allergies, particularly drug allergies. If required, an anaesthetist will see you before your surgery. Depending on your medication, you may be asked to stop or change certain drugs for a duration of time.
You should refrain from taking Aspirin, or non-steroidal anti-inflammatory drugs such as Ibuprofen in the week before your surgery.
In order to optimise your healing, we strongly advise all our patients to stop smoking at a minimum of 2 weeks prior to your surgery and refrain from cigarettes or any other nicotine containing products for 2 weeks after their procedure. Smoking significantly impairs your post-operative recovery and doubles the risk of complications such as delayed wound healing, poor scars or altered results.
RISKS ETHNIC RHINOPLASTY SURGERY
In accordance with the Montgomery judgement, the following risks and side-effects are associated with Ethnic Rhinoplasty surgery:
RISKS PIEZO RHINOPLASTY SURGERY
In accordance with the Montgomery judgement, the following risks and side-effects are associated with Piezo Rhinoplasty Surgery:
|PAIN||Moderate discomfort is expected; suitable pain medication will be provided.|
|BRUISING||Common, may last for 2-3 weeks. Avoid Aspirin / Ibuprofen.|
|SWELLING||Swelling will occur. It can take 6-12 months to fully resolve.|
|BLEEDING||Minor oozing is expected for 4-5 days post-OP. Major bleeding is rare. Haematoma (blood collection – risk is less than 0.1%) may require drainage or return to surgery.|
|INFECTION||Occasionally, mild infection. Rarely serious infection. If required, appropriate antibiotics will be prescribed.|
|Some diminished sensation is expected around the tip of the nose and the Columella. It can take up to 6-12 months to return to normal.|
|SCARRING||With any incision there is a risk of delayed healing and poor scarring, which can lead to hypertrophic scars or keloid formation.|
|IRREGULARITY||Uncommon, may occur at bridge or tip of the nose – more likely with thin skin.|
|ASYMMETRY||Uncommon, any pre-operative asymmetry will be pointed out and the operation will aim to improve this. Can occur temporarily due to swelling.|
|ALTERED SMELL||Altered or diminished smell can occur. Can take 6-12 weeks to resolve.|
|WATERY EYES||Occasionally, may last 2-3 weeks|
|Occasionally required (approximately 10-15% of all rhinoplasties). Recommended after 12 months.|
|PNEUMOTHRAX||Very rare. Can only occur if rib cartilage needs to be harvested (e.g. in revision rhinoplasty or ethnic rhinoplasty).|
|DEEP VEIN |
|This is a clot that forms in the deep veins of the lower limbs causing pain, inflammation, and swelling. This will require immediate medical attention.|
|This is a clot which has travelled to the lungs causing chest pain and shortness of breath. This will require immediate medical attention.|
A good candidate for eyelid surgery has one or more of the following:
- realistic goals and expectations
- a nose that is too big or too wide
- a bump on the bridge
- a tip that is either bulbous, droopy, or pointing upwards
- a crooked, deviated nose
- you are a non-smoker or can stop smoking for a minimum of 2 months
- unrealistic expectations
- patients that experience a lot of personal or professional stress
- you were told by others (partner, colleagues, friends or family members) that you should have a rhinoplasty
Ethnic rhinoplasty is performed under general anaesthetic and can be offered as a day procedure. For out-of-town patients we suggest an overnight stay at the hospital in the first night after your procedure. In the following days patients can use our special rates at some of the hotels in Marylebone and Chelsea.
Depending on the complexity of the case ethnic rhinoplasty can take anything from 2.5 to 4 hours. Most ethnic rhinoplasty cases require harvesting of rib cartilage, which can then be used in order to create grafts for increase the height of the bridge.
Mr. Bran uses PIEZO technology for ethnic rhinoplasty. During most ethnic rhinoplasties the contours or alignment of the nasal bones need to be addressed. Different to conventional methods (e.g. using rasp, hammer and chisel) Piezo rhinoplasty enables us to improve the contours of the nasal bones with no trauma to the soft tissue surrounding the bone. As a consequence, post-operative pain, bruising and swelling are significantly reduced. The initial swelling will extend down to your cheeks and your upper lip in the days after surgery. Patients report breathing impairment and a tender feeling along their nose due to swelling. Some patients experience oozing from the nose in the first few days post-opreatively. You will be given adequate pain medication and appropriate instructions how to take care of your nose to keep your discomfort at a minimum.
We advise our patients to plan enough time for their recovery. The minimum after any rhinoplasty are usually 10-14 days. In this time, you should expect swelling around your eyes, your cheeks and lips. Most of the swelling will usually resolve over the two weeks. Due to the delicate nature of our nose, residual swelling can take up to 12 months to fully settle. You will receive a guide what to do and what to avoid in the first weeks after your procedure. Cooling packs may be applied within the first days and you will be advised to rest with an elevated position of your head. After 6-7 days the sutures used to close the incisions will be removed. The cast on the back of your nose usually comes off on day 10. Patients can go back to their daily activities approximately 14 days after surgery. We advise our patients to avoid strenuous activities or exercise completely for 3 weeks after surgery.
One incision is placed across the columella, which is the skin under your tip, between both of your nostrils. In selected cases, whenever the width of the nasal base is reduced, additional incisions will be placed inside the nostrils, extending into the natural fold underneath your nostrils. You will receive instructions how to take care of your scars on a daily basis. As the scars continue to mature they will become barely visible. Mr. Bran wrote his PhD on scars and continuously improved his surgical techniques in order to create the least noticeable scars.
What can complement ethnic rhinoplasty surgery?
In order to find out more you should book a confidential consultation with Mr. Bran. As an expert in facial plastic surgery, he will be able to answer all of your questions and explain the details of your tailored procedure.