Middle Eastern Nose Job Specialist | San Diego Middle Eastern Rhinoplasty Surgeon

 

Middle Eastern rhinoplasty is one of Dr. Kolstad’s most common procedures.  San Diego has a diverse community with people from every part of the world.  Many nose job surgeons will have the same rhinoplasty result for every face.  Dr. Kolstad specializes in achieving unique results that match your features as well as your ethnic background.

How Are Middle Eastern Noses Different From Those Of Other Ethnicities?

Persons of Mediterranean and Middle Eastern descent can have noses that appear to be elongated and overly prominent.  When examining a nose it is helpful to evaluate the individual subunits.

Nasal Tip:

Middle Eastern noses can have tips that droop or are pointed downwards.  A drooping nasal tip creates an appearance of an elongated nose.  By rotating the tip of the nose upwards a drooping nose can appear more refined. Increasing the amount of nasal tip  rotation will make the nose appear less elongated on the profile view and less drooping on the front view.

The nasal tip is often wide and prominent on the front view.  By reshaping the nasal tip cartilages the nose will appear more refined and in better balance with the other facial features.

Columella:

A hanging columella (the strip of skin between the nostrils) is another cause of a drooping nasal tip.  Columellar ptosis can be corrected at the time of rhinoplasty to improve the infratip lobule (the lower part of the nasal tip). Reducing a hanging columella will make the nose appear less elongated on the profile view and less drooping on the front view.

Bridge:

Middle Eastern noses can have a prominent hump on the bridge.  The hump or convexity is most visible on the profile view.  Reducing the prominence of the hump can make a significant impact on the overall appearance of the nose.

Women can choose to create either a straight bridge or have a slight curvature to it.  For men the most appealing appearance is a straight bridge.

Radix:

The radix is the highest part of the bridge of the nose.  Middle Eastern noses can have a high radix making the bridge of the nose appear to start between the eyebrows instead of at the level of the upper eyelid.  Reducing the height of the radix can be difficult to accomplish with rhinoplasty but an important part of the procedure nonetheless.

While a dissatisfying outcome in nasal cosmetic surgery is possible even in the most skilled hands, more commonly it comes from the hands of the occasional nasal surgeon. Revision rates with inexperienced physicians have been reported to be as high as 20%.

The decision to have a revision surgery can be a difficult and often emotional one. Dr. Kolstad believes in approaching the procedure as your partner. He works with you to ensure that all of your concerns are discussed and that he clearly understands your goals. Dr. Kolstad believes that those seeking revision surgery need to be advised honestly about what they can expect.

Dr. Kolstad’s analytic approach distinguishes him from his colleagues. He believes in a customized approach that is specific to the way that your nose will harmonize with your face.

Dr. Kolstad learned his technique from one of the best rhinoplasty surgeons in the world. He spent an entire year in New York working exclusively with one of the world’s premier Facial Plastic Surgeons.

“You do not learn plastic surgery from a book or by watching a video. You learn to become the best by working with the best.”

Revision nasal surgery is more challenging than primary rhinoplasty for several reasons. Patients that have had a previous surgery will have scar tissue which increases the complexity of the procedure.

During the first nasal surgery distorted cartilage is typically removed to reshape the nose. Consequently, during revision rhinoplasty the cartilage needed for reconstruction is no longer available. Borrowing cartilage from the patient’s ear or rib may be required to restore nasal form and function.

Dr. Kolstad prefers an open approach to the nasal framework. With this technique, incisions are primarily located inside of your nostrils, with only a small incision placed across the columellar skin, the vertical strip of tissue between your nostrils. When sutured together properly, this incision heals so well that only you and your facial plastic surgeon should know its there.

The open approach allows for a direct view of the nasal structures leading to a more predictable result. Dr. Kolstad will use cartilage from your septum, (possibly ear or rib in revision cases) to enhance the definition of your nose and to provide support.

You can choose to reduce or increase the size of your nose, change the tip or the bridge, narrow the span of the nostrils or change the angle between your nose and your upper lip.

Dr. Kolstad will evaluate the structure of your nose in relation to the shape of your face, the thickness of your skin, your height and your age. He will work with you to try to make your nose complement your other facial features.

Case #1.

This patient felt her nose was too large for her face.  She desired a more feminine curvature to the bridge of her nose.  She felt like the tip of her nose was drooping too much.  She wanted to lift the nasal tip and refine the cartilages to make her nose fit her face better.

Middle Eastern Nose Job San Diego

Case #2.

This patient felt her nose was too large for her face.  She desired a more feminine curvature to the bridge of her nose.  She felt like the tip of her nose was drooping too much.  She wanted to lift the nasal tip and refine the cartilages to make her nose fit her face better.

Case #5.

This patient did not like the shape or proportion of her nose.  She had a rhinoplasty in the past and was unhappy with the results of her surgery.  She felt like the bridge was too scooped on profile view.  She was concerned that the tip of her nose was asymmetric and looked unnatural.  She had difficulty breathing through her nose.

Case #7.

This patient desired a more feminine nose.  She felt like the bridge of her nose was too big.  She wanted to slightly lift the tip of her nose but not to over rotate it.  She wanted the tip to be sculpted and create a more elegant appearance.

Middle Eastern Rhinoplasty Expert San Diego

Case #10.

This patient did not like the way his nose fit his face. He felt like the tip of his nose was drooping and was unhappy with the hanging columella.  He did not like the hump on the bridge of his nose.  He was concerned about an unnatural rhinoplasty outcome.  He wanted the nose to look refined but not over done.

Frequently Asked Questions

The rhinoplasty cast will stay on for one week. After removal of the splint, your nose will be a little swollen and “puffy”. However, even when swollen, your nose will look better than it did before surgery.

It takes two to three weeks for the majority of swelling to be reabsorbed from your nose. As the swelling is removed, your nose will become more contoured and the definition will enhance.

It takes a full 12 months for 100% of the swelling to be completely gone. The nasal skin must shrink-wrap to the new framework and definition. This takes time. Throughout the postoperative period, Dr. Kolstad will use medicines to contour the nasal skin and enhance your result.
It is common for some bruising under your eyes. With frequent use of ice packs the bruising is typically minimal and does not bother the majority of people. Dr. Kolstad recommends that his patients obtain cover-up make-up prior to surgery to help camouflage any postoperative bruising.
A frequent concern of our patients is looking plastic after rhinoplasty. There are limitless examples of unnatural, operated results. When surgeons remove too much structure, the nasal tip can look overly narrow.

It is very important to choose a plastic surgeon that specializes in operating on the face. Dr. Kolstad is an expert in nasal cosmetic surgery and is known as the face specialist, because put simply, that is all he does.

Additional La Jolla Rhinoplasty Information

PDFRhinoplasty Before and After Surgery Instructions

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