African American Rhinoplasty

African American rhinoplasty is a facial plastic surgery procedure that is typically performed in our fully accredited surgical suite in Manhattan, NYC under general anesthesia. Dr. Cangello’s meticulous surgical techniques, combined with his passion for creating beautiful and functional outcomes, make him a sought-after choice for African American Rhinoplasty. He will craft a surgical plan that addresses your concerns, whether it’s refining the bridge, enhancing the tip, or correcting functional issues that hinder breathing.

Different types of African noses require specific surgical techniques to achieve desired results:

African Noses (Flatter, Wider Dorsums): These noses typically need narrowing and augmentation of the dorsum. Narrowing is achieved through osteotomies, which involve carefully cutting and repositioning the nasal bones to create a narrower appearance. Augmenting the dorsum can be performed in one of several ways, including utilizing a solid piece of cadaveric rib or by dicing the existing cartilage—either the patient’s own, such as from the septum and/or ear, or cadveric rib—and wrapping it in fascia. To augment the bridge, Dr. Cangello will avoid implants due to safety concerns. Instead, he often uses rib grafts, usually from cadaveric sources, possibly combined with the patient’s fascia (usually from the temporal or rectus area) if required. These materials are used to create a dorsal support structure that enhances the nasal bridge.

Afro-Caucasian and Afro-Indian Noses: These noses often require traditional reductive procedures for the dorsum, similar to Caucasian noses. This may be necessary to address dorsal humps or over-projected dorsums. Additionally, African noses often have weak tip cartilages and thick skin, which means achieving tip definition requires projecting the tip further. This is typically accomplished with septal extension grafts. In some cases, ear cartilage may also be utilized to augment weak alar cartilages.

Wide Alar Base and Nostril Sill: In all types of African noses, the alar base (the wing-like structures on the sides of the nostrils) and the nostril sill are often wider. These features require reduction, a straightforward procedure that narrows the alar base and restores balance to the overall appearance. To subtly narrow the nasal base, a small portion of the nostril floor may be removed. If a more noticeable refinement is desired, a more extensive segment of the nostril floor can be taken out.

By tailoring his approach to the specific characteristics of each patient’s nose, Dr. Cangello can achieve natural and harmonious results in African American rhinoplasty. During your consultation, Dr. Cangello will assess the most suitable approach—which will include open or closed nasal surgery—to align with your specific requirements.

Opting for an open rhinoplasty entails a small incision in the columella, the tissue between your nostrils. This external approach, also known as external rhinoplasty, grants a clear view of the internal nasal structures. Selecting an open nose job for African American patients enhances visibility for precise adjustments within the nasal bones, cartilage, and tissue or the placement of cartilage grafts if required. This frequently employed technique enables Dr. Cangello to reshape the nose and address concerns while preserving its foundational support.

Alternatively, a closed rhinoplasty, termed endonasal rhinoplasty, is an internal procedure where incisions remain confined to the nostrils’ interior. Those seeking to minimize visible scarring might favor this option. In a closed procedure, Dr. Cangello gently elevates the underlying bone, cartilage, and tissue through the nostrils, ensuring no visible scarring.
The choice between an open or closed approach hinges on your unique goals and the dimensions of your nasal passages, all thoughtfully evaluated by Dr. Cangello.