In this study, all 75 African American patients sought: 1) nasal dorsal augmentation for inadequate nasal dorsal height; 2) elevation of a low or depressed nasal-frontal angle; 3) refinement of a poorly defined, rounded or bulbous nasal tip; 4) reduction of nasal width both horizontally and vertically. To address these common issues the three-tiered approach to African American rhinoplasty was used in all 75, and Dr. Slupchynskyj found it to be a technique that yields great patient satisfaction, allows for maintenance of ethnic features, and yields a minimal rate of complications. This three-tiered approach enhances the equilibrium of the nose and face by increasing dorsal height, lessens nasal flare, and increases tip refinement and projection, while maintaining ethnic characteristics. "According to the results of our study, the majority of patients indicated a low, if any, change in ethnic characteristics" said Dr. Slupchynskyj. Concurrently, when addressing patient satisfaction with the result of this technique, an overwhelming number of patients indicated average or above average satisfaction with their result. Finally, Dr. Slupchynskyj states "when the high increase in self-esteem due to this procedure is considered with our study results, we can indicate this technique as one that successfully addresses concerns of African American patients seeking rhinoplasty surgery. African American patients are not looking to change their ethnic features; they seek satisfaction from a nose that is in harmony with the remainder of their facial features."
The Archives of Facial Plastic Surgery is the official publication for The American Academy of Facial Plastic and Reconstructive Surgery,
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