Afro-Caribbean & African Rhinoplasty
Dr. De Silva , a London rhinoplasty surgeon with experience of working in London, New York and Los Angeles, specialises in ethnic rhinoplasty. Dr. De Silva treats ethnic (non-white)patients particularly of Afro-Caribbean and African decent. Dr. De Silva practice is based in London and he sees patients of ethnic descent from all over the world. The ethnic nose can have a variety of characteristics, and variabilities but what distinguishes it from a Caucasian persons nose is typically a low radix, a flat and wide nasal bridge, a broad base, wide nostrils, with short and thin cartilages. The underlying Afro-Caribbean and African nasal anatomy is charge rises by a low nasal bridge, relatively wide nostrils and thick skin with fat present in the nasal tip. There is individual variation with each of these anatomical characteristics such that each rhinoplasty must be tailored to the individual person.
How does Dr. De Silva’s techniques differ for Afro-Caribbean Rhinoplasty?
Dr. De Silva focuses on every patient’s individual needs, and rhinoplasty is a procedure that requires customisation for the individual person. Dr. De Silva often utilises graft tissue in Afro-Caribbean Rhinoplasty to build a more elegant and refined dorsal bridge, this results in the appearance of the nose becoming narrower and more refined. Dr. De Silva uses specialised Afro-Caribbean Rhinoplasty techniques to improve both the bridge of the nose narrow the nasal bridge, definition in the tip of the nose, treat the increased thickness of the ethnic skin and to enhance recovery time with the use of anti-swelling medication. By the use of these techniques they offer a patient a natural looking result with more definition and refinement and faster healing time. Less than ten percent of Dr. De Silva’s patients have bruising after rhinoplasty.
Ideally, a beautiful nose should have a straight dorsum separated from the forehead by a shallow groove located at the level of the upper border of the tarsal cartilage of the upper lid. Ethnic rhinoplasty requires specialist techniques in the African nose to achieve a more elegant profile and refined nasal tip.
What is different about Afro-Caribbean or African Skin?
African noses have increased skin thickness with an additional layer of subcutaneous fat or by a large number of sebaceous glands. Excessive thickness of the skin reduces the nasal definition and can result in a more bulbous shape in the tip of the African nose. Dr. De Silva uses specialist techniques to improve the definition of the African nose including shaping of the underlying cartilages, graft tissue an reducing skin thickness. In addition after surgery Dr. De Silva uses anti-inflammatory medications after surgery to speed up recovery after surgery.
Can the nasal bridge be more defined in African Rhinoplasty?
A combination of a low nasal bridge and wide nasal bones can result in a relatively wide and in-defined nasal bridge in Afro-Caribbean noses. Utilising normal rhinoplasty techniques is unlikely to result in a substantial improvement in nasal definition owing to thicker skin. Dr De Silva uses specialised ethnic rhinoplasty techniques to improve the nasal bridge including the use of graft tissue. Choices for graft material include using your own cartilage (septal cartilage) or other material. Dr. De Silva’s first choice for graft material is your own cartilage from your nasal septum or cartilage from your ear, sometimes your own cartilage may be insufficient in length the nasal bridge and other material may be required. Medpor is one option that is used extensively in reconstructive surgery to repair the face after injuries such as trauma. Medpor cannot be used in all patients, and requires specialist skills to use. Dr. De Silva prefers the use of material that will give a permanent long-term correction of your nose that will last indefinitely. Dr. De Silva’s focus is on a natural augmentation of the nasal bridge in Afro-Caribbean Rhinoplasty to ensure that the result looks like your nose, just more elegant and refined.
Pin addition to enhancing the nasal bridge with graft tissue the bones that make the walls of the nose require narrowing to give a more refined and narrow nose. Dr. De Silva used specialist micro-instruments to make a precise dust net of the nasal bones to narrow them in a controlled fashion, this creates a hidden-incision scarless low-low osteotomy.
How can the nostrils be narrowed in Afro-Caribbean Rhinoplasy
The need to narrow nostrils with Afro-Caribbean Rhinoplasty requires complete customisation for the individual. Wide nostrils are reduced with alar narrowing techniques. Nostril narrowing is one of the more challenging aspects of Afro-Caribbean Rhinoplasty, as complete symmetry cannot be achieved in the nostrils as they are a complex 3-dimensional dome, a natural shape. Dr. De Silva hides the incision of nostril reduction by making incision in the natural curvature under the nose. There are limitations in the degree of narrowing achievable in the nostrils of the Afro-Caribbean nose as there is a limit to how much cartilage and skin be shaped safely maintaining sufficient structure for breathing and maintain a natural shape. Dr. De Silva is frequently asked to correct the scars from patients who have undergone rhinoplasty elsewhere which are best avoided by making hidden incisions in the first place. Nostril reduction also termed alar reduction results in a narrower nose that looks more elegant and improve facial balance.
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Trust your Face to an Expert
Centre for Advanced Facial Cosmetic & Plastic Surgery
Dr. Julian De Silva MBBS MD FACO FACS BSc PGc DIC
23 Harley Street, London W1G 9QN, UK
Phone: 020 8748 2860