Ethnic Indian Rhinoplasty / Middle Eastern Rhinoplasty*

Before and After Rhinoplasty picture of a Indian or Middle Eastern type nose. This type of nose typically has a normal radix position with a dorsal hump that can vary from mild to severe. Skin thickness in the tip for this type of nose can vary from moderate to thick. The angle of the tip of the nose in these types of cases needs to be elevated especially in instances in which there is a plunging tip. Patients with a plunging tip will see the tip of their nose dip down when they smile, often exaggerating the tip in a downward position. While a closed rhinoplasty may address this issue, an open rhinoplasty with a columella strut is generally considered the optimal solution. More

This is a side view of an Indian / Middle Eastern type of rhinoplasty. Profile angle is a very important consideration in all patients, but especially in ethnic noses. The goal is often to enhance the nose without removing all ethnicity. Thus we strive in these cases not to create too much of a scoop to the nose. An angle of 130 degrees without a large supratip break is typically ideal and allows patients not to feel too different. A surgeon must listen to the patient and their desires and deliver a result that fits both their goals and harmonize with the aesthetics of the face. At VIP Plastic Surgery, Dr. Khorsandi believes in a tailored approach to rhinoplasty. More

A deviated septum can lead to a crooked or asymmetric nose. This can draw a lot of unnecessary attention to an already unflattering nose. Septoplasty is often performed, sometimes with cartilage grafting, along with osteotomies to reposition the nasal bones. A crooked nose with a deviated septum requires a ground up approach to getting everything straight, this includes repositioning the lower lateral cartilages, releasing the upper lateral cartilages, centralization of the bony septum, fixation of the anterior cartilage septum, and a whole host of individualized techniques to get things straight. This is why rhinoplasty is considered the most challenging of plastic surgery procedures. When choosing a plastic surgeon, consider one that focuses on rhinoplasty. Dr. Khorsandi is a member of the Rhinoplasty Society and Rhinoplasty Surgery is a major focus of his practice. More

A good profile should seamlessly blend the nose into the whole facial profile. Factors to take into consideration are dorsal angle, tip-lip angle, length of nose, and cheek to tip projection length. It is an interesting note that profiles often follow the golden ratio of 1 to 0.617 that was attributed to artists, scientists and philosophers. One such adherent to the golden ratio was Leonardo DaVinci. Perhaps this is why his works are considered some of history's great masterpieces. More

Personal goals for rhinoplasty vary between individuals and often between ethnicities. Each patient has a desire for a personal outcome which we strive to achieve. At VIP Plastic Surgery we employ 3D imaging to help our consultation so that we can better understand each person's goals. If you are considering a nose job, you must come in for a consultation. More