The black race, like the Orientals (Japanese, Korean, Chinese), has a generally thick, short, broad-nosed nose. As the aesthetically accepted nose as beautiful these days is tall, thin and with a delicate tip, these breeds present a great challenge to the plastic surgeon.
The plastic surgeon, despite having in his arsenal innumerable techniques and resources, is always stuck to the material that the patient provides. We can't exchange bone, skin and cartilage, unfortunately.
In these cases, to be able to lift and tune the nose, you need to add material to suspend it. Cartilage grafts are placed on the tip and back of the nose. The patient's own cartilage (from the nasal septum, ears, and even ribs) is usually used. Even bone can be used.
The problem is that because the nose is low, the septum (part of the cartilage that separates its entrances from the nose) is small and provides little material, insufficient to give height to the nose. The cartilages of the ears are curved and do not provide straight cartilage grafts to place on the back of the nose and gain height. Already the rib cartilages give abundant volume, but in addition to leaving a scar on the chest usually distort over time, may bend the nose over the years.
So there is no solution? For a long time it was really hard to get good results. Fortunately, today the use of porous polyethylene (Porex?) Has gained ground. It is a biocompatible material, well tolerated by the body and already widely used in chin, cheek, jaw, etc. The nose piece is modelable and can be adjusted to the shape of the nose, assists in the projection of the nasal dorsum, giving height and thinning the nose. The tip, however, should still be modeled with cartilage graft, because being a rigid material, Porex? It does not adapt as well to soft structures as the tip of the nose.
With the use of porous polyethylene, rhinoplasty in blacks and Asians jumped standard. Although the skin remains thick, a better definition of the nose shape and maintenance of the result was achieved, hardly obtained with the patient's own material.
Rhinoplasty | What You Need to Know from a Johns Hopkins Expert (April 2024)
- Plastic surgery, Body
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