Question : I notice that when I am not smiling, it looks like I am frowning. People actually comment that I seem angry. I don’t know if this involves just my mouth or both my mouth and eyes. Would a consultation help me identify whether I need a cheek lift, an eyelift or both?
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Posted in Ethnic Rhinoplasty, Rhinoplasty on May 8th
Question : I’m Middle Eastern with what I consider a typically Middle Eastern nose. I dislike my nose on profile. What would you suggest for fixing this?
Answer : It would be nice to see a photo. Sounds like you may need a hump reduction and some tip refinement, but I really cannot say what you need without seeing your nose. I would be happy to look at a photo if you send it to info@drbentkover.com.
Posted in Ethnic Rhinoplasty, Rhinoplasty on March 4th
Question :
I am Asian-American and am seeking a consultation on rhinoplasty. I would like to have the bridge of my nose raised and narrowed and also have the width of my nose at the nostrils narrowed. I believe that this means some type of augmentation. Can this be done without detracting from my Asian features?
Answer :
Yes, usually using cartilage from your nasal septum.
Take a look at this patient:
http://www.drbentkover.com/photogallery/rhinoplasty/patient-7
Posted in Ethnic Rhinoplasty, Rhinoplasty on January 12th
Question:
What are spreader grafts? And what are they used for in rhinoplasty?
Answer:
These are small rectangular pieces of cartilage, usually from your nasal septum, placed on either of the septum at or near the top (dorsum) to help straighten the septum, decrease collapse of the sides of your nose with you breathe (called nasal valve collapse) or add some width to the central part of your nose called the mid vault.
Posted in Ethnic Rhinoplasty, Rhinoplasty on December 24th
Question:
I have a very crooked nose that I would like to have fixed. I've heard that it can be made straighter but that correcting a crooked appearance is very difficult and that I cannot expect it to be perfectly straight. Why is this?
Answer:
A crooked nose often has a crooked nasal septum. The septum must be straightened to straighten the nose. Also, sometimes the periosteum, the fibrous coating over the bone, is short on one side and will tend to pull the bones back to where they were as the nose heals. Straightening the crooked nose is always a challenge but is generally successful. While not all post op noses are perfectly straight, they are generally much straighter. Here are a couple of examples of crooked noses I fixed. Women’s sports are a constant factor with these noses, especially cheer leading.
http://www.drbentkover.com/photogallery/rhinoplasty/patient-21
http://www.drbentkover.com/photogallery/rhinoplasty/patient-30
Posted in Ethnic Rhinoplasty, Rhinoplasty on December 24th
Question:
I have a very Roman type of ethnic nose. How is this fixed with rhinoplasty?
Answer:
Usually this type of nose has a large hump, overprojecting tip and wide tip cartilages. The rhinoplasty would move the tip closer to the face (retrodisplacement) reduce the hump and make the cartilages appear smaller or more defined.
Posted in Ethnic Rhinoplasty, Rhinoplasty on December 19th
Question:
Are there limitations to what can be achieved when performing rhinoplasty on African Americans?
Answer:
As with any rhinoplasty, the cosmetic and functional result can be limited by the thickness of the skin and the strength of the cartilages. Thick skin, present in many African American noses, can limit the ability to achieve fine detail. Thin cartilages also limits this quality, and many African American noses have thin or partially missing cartilages. That said, the addition of cartilage grafts from the nasal septum or the ears can often help to give better detail to such noses.
Posted in Ethnic Rhinoplasty, Rhinoplasty on December 15th
Question:
I'm Hispanic. I had a nose job 7 weeks ago. One side of my nose is much thicker than the other making it look very uneven. I've been told that Hispanics have very thick skin. Is this to blame or is it swelling? What are the chances that the symmetry will improve?
Answer:
It could be related to your skin or just some asymmetrical swelling. Don’t panic. It may work itself out. You might need some steroid injections.
Posted in Ethnic Rhinoplasty, Rhinoplasty on October 26th
Question:
How do you avoid over Westernizing an ethnic nose with rhinoplasty?
Answer:
First, make sure that you and your surgeon agree on what is to be done. Second, make sure you are confident that the surgeon has done your type of nose before. As to see pictures. The technical issues can be handled in many different ways.
Posted in Ethnic Rhinoplasty, Rhinoplasty on October 1st
Question:
Can you perform rhinoplasty on an African American without scars showing? I form large scars and really don't want any scars on my face.
Answer:
Sometimes. In most cases, however, I think an open approach is better for an African American nose. The cartilages are often small and need to be precisely augmented. This is better in my hands through an open approach. The scar should not show enough to rule it out.
Posted in Ethnic Rhinoplasty, Rhinoplasty on September 6th
Question:
I've heard that it's difficult to get a lot of definition in the tip when performing rhinoplasty on a bulbous ethnic nose. Is this true and how much definition can realistically be expected?
Answer:
In any thick skinned nose, the ability to get good definition depends on the proper use of strong cartilage grafts. (Here is an example: http://www.drbentkover.com/photogallery/rhinoplasty/patient-19) What makes some ethnic nose even harder is that the underlying tip cartilages may be smaller and weaker than the noses of the Caucasian nose. This may be true of an oriental, black or Hispanic nose.
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