Primary, Ethnic Revision Rhinoplasty is one of the most challenging and difficult procedures a Facial Plastic Surgeon can perform in Cosmetic Surgery. Ethic noses typically have excessive fatty tissue in the tip of the nose, poor supporting cartilages and thick skin. All of these attributes make it much harder to get good results as opposed to Caucasian noses. Revision Ethnic Rhinoplasty is even more challenging and can yield only marginal improvements.
Rhinoplasty for African American Patients, A Retrospective Review of 75 Cases, written by Oleh Slupchynskyj, MD; Marzena Gieniusz, BA, 75 patients treated in 2008 and their rate of satisfaction and self-esteem are discussed.
The average national complication rate for an Ethnic Rhinoplasty Surgeon is about 1% to 2%. That means that a Surgeon must revise 1% to 2 % of his/her Rhinoplasty cases, whether it is a minor or major revision.
Complications, which lead to Ethnic Revision Rhinoplasty Surgery, include:
1) Poor implant placement and/or selection.
2) Improper reduction of nostril width.
3) Poor surgical planning and approach to the African American nose.
How do you, the patient, ensure having to undergo Ethnic Rhinoplasty (Revision Rhinoplasty) Surgery a second, and sometimes even a third time?
The first most important step is securing a Facial Plastic Surgeon with training specific to the face and nose, versus a General Surgeon whose training includes the entire body. Second and just as important, the Ethnic Rhinoplasty Surgeon must have experience and proven results performing not only Primary, but also Revision Rhinoplasty on African American and Ethnic noses. Third, the surgeon needs to be able to work with you towards your desired result. Make sure your first consultation includes the following:
1) Computer imaging of the nose is absolutely essential to pre-operative planning and will show you an excellent and realistic approximation of your desired results. This process reinforces the doctor/patient understanding of expected results.
2) See actual before and after photos of the surgeon’s patients who have undergone Rhinoplasty and if possible, have results that you like and are similar.
3) Obtain references from patients who have undergone the same procedure. Speak to three and at the very least two, to get several opinions.