Ethnic Rhinoplasty

Ethnic rhinoplasty is a term used to describe “nasal reshaping” that creates a balanced aesthetic outcome that preserves a patient’s ethnic identity.

Since the nose is the central feature of the face, any nasal flaws can dramatically affect appearance, drawing excess attention to itself and away from the eyes and mouth. Clients from diverse backgrounds often seek out an ethnic rhinoplasty specialist in order to refine and correct such flaws while also preserving the uniqueness of that person’s ethnicity.

Does Ethnic Rhinoplasty Present Different Challenges?

As with any rhinoplasty surgery, skin thickness and strength, the shape and strength of nasal cartilage, and nostril size and shape vary between individuals, but even more so between ethnicities. Furthermore, varying skin tones (medium to darker) present a risk for prolonged hyperpigmentation at incision sites. Other than physical characteristics, the surgeon must also have an understanding of the patient’s cultural background and standards of beauty.

For ideal rhinoplasty results, a rhinoplasty surgeon such as Dr. Colin Pero must consider all these factors to deliver results that enhance a patient’s individual beauty.

Why Choose North Texas Facial Plastic Surgery?

At North Texas Facial Plastic Surgery, Dr. Pero is an experienced ethnic rhinoplasty specialist, skilled in preserving the ethnic differences in the contours of the nose, producing results that are natural appearing and ethnically appropriate for patients over the last 10 years. Dr. Pero is double-board certified by The American Board of Facial Plastic and Reconstructive Surgery (ABFPRS), and The American Board of Otolaryngology/Head and Neck Surgery (ABOto).

He also completed a fellowship in aesthetic and reconstructive surgery of the nose accredited by the American Academy of Facial Plastic and Reconstructive Surgery at the University of Illinois at Chicago Medical School under the tutelage of Dean M. Toriumi, M.D. Dr. Toriumi is a world-renowned Facial Plastic Surgeon and his fellowship is regarded as one of the premier fellowships in the world for the study of Facial Plastic Surgery. His fellowship training and practice have included treating patients from the U.S., China, Africa, Hong Kong, Japan, and South Korea, amongst many other Asian, European, Central and South American countries.

In 2010, Dr. Pero co-authored a paper with Dr. Toriumi on Asian Rhinoplasty (published in Clin Plastic Surg). Click on this link, Asian Rhinoplasty, to read the paper.

What Can You Expect During a Consultation?

As a rhinoplasty surgeon, Dr. Pero is very familiar with variations in facial and nasal anatomy. During the consultation, he listens to your needs and aesthetic goals and doesn’t try to box you into any generic ethnic rhinoplasty category. Instead, his goal is to provide you with an aesthetic appearance of the nose that is in tune with your original racial features to achieve harmony. In doing so, this requires meticulous consummate skill and exceptional training, as well as a sensitivity to the subtlest of traits native to your personal, ethnic identity.

It starts with the evaluation, assessing the patient’s background, desired changes and cultural identity. Only then can we assess the nose itself, demonstrating the proposed changes with computer imaging of the patient’s photographs to ensure understanding between us. Surgical techniques vary based upon desired results but do differ from traditional Caucasian rhinoplasty. A few examples include larger grafts along the dorsum in many Asian and African-American patients and stronger, larger tip grafts to increase projection and narrowing in many patients with thicker skin. – C. Pero, M.D.

As Dr. Pero listens to your goals and evaluates your concerns, he will map out a plan that is tailored to your unique anatomy and desired aesthetic results. As a double, board-certified facial plastic surgeon in North Texas, who studied with the finest mentors throughout the United States, Dr. Pero has built a distinguished reputation in the field of ethnic rhinoplasty in North Texas. His emphasis on preoperative clarity and communication truly sets him apart from other facial plastic surgeons in North Texas, instilling confidence and ease in all of his patients.

Ethnic Rhinoplasty Technique

Successful rhinoplasty is one of if not the most difficult operation in facial plastic surgery. Due to inherent differences in the anatomy of each patient, the techniques used to correct deformities must similarly vary in order to achieve the desired results.

As Dr. Pero works to refine and reshape the nose, he may use several advanced methods to accomplish desired results. These may include employing cartilage grafts to boost the nasal structure, bridge augmentation, tip lengthening or reduction, and adjustments to the nostrils at the nasal base. For every case, his end goal is to achieve an aesthetic balance, symmetry, and overall facial accord that simultaneously preserves and enhances nasal function.

Whatever the imperfection to be adjusted, Dr. Pero will work meticulously to enhance the individual beauty of each person without changing or losing the uniqueness of that person’s ethnicity. He is careful to never over-operate which allows him to preserve and enhance individual beauty while producing stunning ethnic rhinoplasty results.

African American Rhinoplasty

Characteristics of African-American rhinoplasty are as diverse as the many ethnic groups represented globally where nose characteristics are very different depending on whether the patient’s ancestry is from North Africa, East Africa, Central Africa or West Africa. In order to create a structure that more clearly defines the three-dimensional nature of the nose, Dr. Pero works on improving nasal harmony while addressing features such as a wide nasal tip, a low and wide nasal bridge, wide nostrils and a shortened or weak tip cartilages. In cases where an overly round tip requires more cartilage, Dr. Pero may perform a graft using tissue from another part of the body to fortify and support the nasal structure.

Asian Rhinoplasty

Characteristics of Asian rhinoplasty usually involve creating a structure that more clearly defines the three-dimensional nature of the nose, minimalizing nasal imperfections such as an unduly broad, flat, or wide nose, unrefined nostrils or an underdefined bridge. Asian rhinoplasty requires knowledge of anatomy and aesthetic ideals unique to the Asian rhinoplasty patient. Use of autologous (from one’s own body) cartilage in a structured approach is the preferred grafting method to achieve the desired long-term results in this patient population. Cartilage from the rib or ear may be used to strengthen the nasal tip or bridge shape, lending more strength to the profile. Such changes also serve to enhance breathing and nasal functioning as a whole.

Latino/Hispanic Rhinoplasty

Characteristics of Latino/Hispanic rhinoplasty commonly involves creating a structure that more clearly defines the three-dimensional nature of the nose, while minimizing variable nasal imperfections such as a bridge that is too pronounced or too flat or the tip may be too bulbous or thick. A bulbous tip may be the result of having thicker skin over the nose or too much cartilage or fatty tissue in the tip, which is not adequately supported but weaker cartilage. Excess fatty tissue is often removed and/ or cartilage support reinforced and/or augmented, thereby refining the tip.

Middle Eastern Rhinoplasty

Characteristics of Middle Eastern rhinoplasty, whether Arab, Armenian, Persian or other, usually involves Dr. Pero producing results that complement each patient’s unique ancestry. In creating a structure that more clearly defines the three-dimensional nature of the nose, a prominent hump may be refined, a drooping tip lifted and reshaped, and the nose gracefully proportioned and integrated with the rest of the face.

Mixed-Race Rhinoplasty

Mixed-race rhinoplasty has its own specific challenges. In these cases, rhinoplasty surgeons cannot rely solely on their traditional rhinoplasty or ethnic rhinoplasty experience alone. Rather, they must navigate the procedure entirely on what they observe from the nose itself and from what they learn in conversation with patients. It is, therefore, very important that doctors and patients have very clear communication, as to what is achievable and what patients can expect from surgery. Ultimately, the goal for mixed-race rhinoplasty is to create a harmonious facial balance that is unique to the patient and preserves the ethnic identity of the patient.

Other Ethnicities

Dr. Pero recognizes the extreme diversity of the peoples of our world and seeks to understand each individual patient’s cultural identity and desired changes. An exhaustive list of all ethnic anatomic differences in the world is obviously not possible here, nor all ethnicities treated by our practice. We welcome an opportunity to discuss your individual case with consultation in the office.

Dr. Pero’s familiarity with the common anatomic differences as well as the aesthetic goals in the ethnic rhinoplasty patient assists him in attaining consistent, ethnically congruent, and aesthetically pleasing results. If you are interested in talking to Dr. Pero about ethnic rhinoplasty, please give North Texas Facial Plastic Surgery a call at (214) 382-5100 to schedule a consultation.

11970 N. Central Expressway
Suite 410
Dallas, TX 75243


Legacy Medical Village
5425 W. Spring Creek Parkway
Suite 145
Plano, TX 75024

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