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African American Rhinoplasty in Miami, FL

Struggling with nasal profile concerns? Experience the precision of African American Rhinoplasty with Dr. Anthony Bared in Miami, FL. Achieve harmony, preserve identity, and boost confidence with our tailored approach.

Dr. Bared’s main objective in rhinoplasty is to provide natural results while achieving the patient’s aesthetic goals. 

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In recent years, the number of African American patients seeking rhinoplasty, or nose surgery, has increased dramatically. Today, more patients of African ethnicity are interested in the potential refinements of a rhinoplasty procedure, while wanting to maintain their distinct ethnic features. Dr. Bared’s main objective in rhinoplasty is to provide natural results that achieve the patient’s aesthetic goals.

After spending years working with patients of different ethnicities, Dr. Bared has cultivated a deep understanding of how to address nasal concerns, while preserving the patient’s unique heritage. Regardless of the patient’s race, Dr. Bared tailors each ethnic rhinoplasty to perfectly blend with the patient’s overall facial features and align with their specific cosmetic objectives.

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Thank you for my new nose!!!. Dr. Bared thank you for taking care of me. You truly are a miracle worker. Thank you

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The African American Nose: Features and Characteristics

The nose is an essential facial attribute that is often the first thing people observe about another person. It can also symbolize a part of their cultural background, as well as a feature that ties generations together. While noses come in all unique shapes and sizes, African noses are broader and wider than other ethnic groups. Additionally, they usually have flared nostrils, rounder tips, and a slight, flat nasal bridge.

An African American rhinoplasty, or African American nose job, is a plastic surgery procedure that addresses cosmetic or functional nasal concerns, like a wide bridge or flared nostrils while respecting the patient’s heritage. As with traditional or other ethnic rhinoplasty procedures (Asian rhinoplasty, Caucasian rhinoplasty, Eastern rhinoplasty, or Hispanic rhinoplasty), the African American rhinoplasty aims to improve specific areas of the nose to achieve a natural, harmonious appearance that complements other facial features.

African noses tend to be broader and wider than those of other ethnicities, though all noses come in a variety of distinctive shapes and sizes
The goal of African American rhinoplasty is to create a balanced, natural-looking nose that enhances the harmony of the face
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Goals and Challenges Of An African American Rhinoplasty

Dr. Bared aims to provide African American patients with ethnically appropriate refinements of the nose that retain their native features when performing rhinoplasty. Though treatment should be tailored to each case, certain steps need to be taken for a successful outcome in all cases.

Tip Support in African American Nose Job

The most important of these maneuvers is tip support. If the tip cartilages remain weakened after surgery, the tip of the nose will droop in time. To avoid this, Dr. Bared utilizes cartilage grafts from the patient’s body to provide support. Most of the time, grafts are harvested from the nasal septum, which is the cartilage that divides either side of the nose. However, in cases where the septal cartilage is too small, additional cartilage is taken from the ear from an incision concealed behind the outer ear.

Grafts, in general, are used to provide shape while, at the same time, supporting the nasal structure. Grafts ensure that the results you see are present for a very long time, as the nose structure will be adequately supported. And since they are from your own body, studies have shown that they decrease the risk of complications from infections more prevalently seen when implants are used in the nose.

Nasal Bridge Refinements in an African American Rhinoplasty

While tip support is uniform in all African American rhinoplasty cases, other maneuvers may be used in each specific case, including bridge and width refinements. For one, improvements to the tip are usually balanced with refinements to the width of the bridge to achieve a harmonious facial balance.

Then, the width of the bridge is usually narrowed by means of osteotomies (bone reshaping), where the nasal bones are reset into a more narrow width. In African American rhinoplasty, osteotomies need to be performed at a lower level, given that the African American nose typically has shorter nasal bones.

Finally, to balance the refinements made to the tip and bridge on the frontal view, the width of the base may need narrowing and alar (nostril) bases reduced. The alar base reduction can be a complex maneuver that can be fraught with risks if not performed correctly by a specialist.

Dr. Bared understands how precise a surgeon needs to be when performing alar base reductions to prevent noticeable scarring, as well as an overly narrowed and unnatural appearance.

Additionally, if the alar base reduction is performed too aggressively, the nostrils lose their natural rounded appearance and take on more of a triangular shape.

When performing alar base reductions, Dr. Bared uses a small measuring device called a caliper. This device measures the changes made to the size of the nostrils to the millimeter, allowing him to make exact calculations of how much to remove. The placements of the incisions for an alar base reduction are also of utmost importance. Dr. Bared carefully places these incisions in areas of the nostrils where they would be best camouflaged. 

Improving Nasal Skin with African American Nose Surgery

Another technique employed in African American rhinoplasty, which further helps refine the tip of the nose, is the careful de-fatting of the nasal tip skin. Often, the skin of the tip in African American patients is thicker and presents a secondary fat layer. This layer of fat can be carefully removed to allow the skin to re-drape over the cartilages and allow the refinements made to the cartilages to become more evident. The de-fatting of the nasal tip skin needs to be done very carefully and meticulously to avoid injuring the skin.

Narrowing A Widened Bridge with African American Nose Job

The nasal bridge may appear wide and flat due to either widened nasal bones or a low bridge. A widened nasal bridge can be narrowed via two approaches. First, if the nasal bones are found to be wide, osteotomies are used to reset the bones into a narrower position. The second component of narrowing a bridge may be due to the flatness of the bridge. A lower bridge will also give the appearance of a widened bridge.

African American Rhinoplasty Before & After Photos

Each patient is unique and individual results may vary*.

Bared’s Approach to African American Rhinoplasty

Dr. Bared’s approach to cosmetic rhinoplasty is to, whenever possible, only use the patient’s cartilage during the procedure. Implants are often used by facial plastic surgeons during African American Rhinoplasty to augment the dorsum (bridge) of the nose. Augmentation of the dorsum is utilized to narrow the bridge and create height for a lower bridge.

However, Dr. Bared’s practice is to not use synthetic material to augment the dorsum as these can be prone to infections and even extrusion. Infections and extrusions have been reported to occur even years after surgery. Instead, Dr. Bared will often use ear cartilage and temporalis fascia (removed from a small incision hidden within the hairline). Although this augmentation process requires more technical skill and surgical time, Dr. Bared feels that it is in the best long-term interest of his patients to avoid the use of artificial implants.

African American Rhinoplasty can correct structural problems, such as septum deviations, that lead to breathing difficulties and blockages of nasal passages
During the consultation, your doctor will take into account the gaps between eyes, facial structure, and nasal anatomy

What To Expect During An African American Rhinoplasty Consultation

If you’re considering this type of rhinoplasty, you’ll want to meet with an expert rhinoplasty surgeon beforehand to discuss your goals and concerns and find answers to your questions. Be sure you have realistic expectations for the outcome. During your initial consultation process with Dr. Bared, you can expect that he will listen to your concerns and your specific goals regarding your procedure. This appointment is an integral part of the process, where mutual goals and trust need to be established between the patient and the surgeon.

After performing a thorough evaluation of your nose and checking your medical history and previous surgeries, Dr. Bared uses his aesthetic background to convey what is realistic and how nose surgery can achieve harmony with the rest of your facial features. He considers, amongst other details, the distance between the eyes, the shape of your face, and the existing anatomy of the nose. In addition, he will assess the amount of tip cartilage support, the width of the tip cartilage, the size of the nostrils, the width of the base, and the width of the bridge.

Procedure and Recovery after an African American Rhinoplasty

Rhinoplasty is a complicated surgery that needs incredibly strict attention to detail and hence will typically take 3-4 hours. During the procedure, bone and nasal cartilage will be adjusted and shifted to design and refine the nose. Before your operation, Dr. Bared will advise either an open or closed rhinoplasty depending on the type of transformation required.

Open rhinoplasty surgery entails making a small incision across the columella (the strip of skin that connects your nostrils) to gain access to the underlying nasal structures. The scar from this incision typically heals exceptionally well and becomes virtually invisible.

Closed rhinoplasty involves making incisions inside the nostrils. Dr. Bared performs the majority of his procedures using the open approach.

After nose surgery, particularly patients with thicker skin are expected to have more extended periods of residual swelling. In some cases, Dr. Bared may place small amounts of anti-inflammatory steroid injections into the nose to help with the swelling after surgery. If used, these are usually started one month after the procedure. Swelling in the tip area is the most persistent, taking up to one year to subside completely during your healing process.

Why Choose Dr. Anthony Bared

Dr. Anthony Bared
Anthony Bared, M.D., F.A.C.S.

African American Rhinoplasty Frequently Asked Questions

Last modified by Dr. Anthony Bared