Journal archive · Nasal tip · Ethnic, Asian, Middle Eastern, African and Latino rhinoplasty · 2020
Management of the Nasal Tip, Nasal Base, and Soft Tissue Envelope in Patients of African Descent
Boahene KDO.
In the archive as a landmark paper: the core sweep runs 2011–2026, and this one is here because the history of rhinoplasty rests on it · cited on african american rhinoplasty.
From the abstract
“Facial structure, nasal shape, and aesthetic nasal preferences vary broadly among patients of African descent who seek rhinoplasty. This variation reflects the broad diversity in this ethnic group and is highlighted by lapses in computer vision algorithms in accurately recognizing black faces. Across ethnicities,…”
Excerpt; the full abstract is on PubMed.
Citation
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What the rhinoplasty literature says on this paper's topics, cited line by line to PubMed.
Nasal tip
Tip surgery is now a support problem rather than a sculpting problem: the septal extension graft holds projection and rotation where the columellar strut loses them (0.2% against 4.7% projection loss at one year), and the current series repair, reposition and reinforce the lower lateral cartilages instead of excising them.
Ethnic, Asian, Middle Eastern, African and Latino rhinoplasty
The nose in front of the surgeon decides the operation, not the patient's ancestry: skin thickness, cartilage strength and existing dorsal height set the limits of what any technique can deliver, and planning every nose toward one Caucasian ideal is the error the comparative data now names.
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