While the media often focus on celebrities who have had a "nose job" in Hollywood, there's another trend that isn't getting nearly as much attention: rhinoplasty procedures that retain an individual's ethnic traits. According to Dr. Kevin Sadati, a board-certified facial plastic surgeon in Newport Beach, California, many patients are placing a higher priority on results that retain their key ethnic characteristics. "With ethnic surgeries it's particularly important to work with the patient's natural beauty instead of against it; otherwise the results can look very contrived," explains Dr. Sadati. "What looks appropriate on a Middle Eastern face may look much less natural for someone with African American or Asian features. Patients are seeking out rhinoplasty surgeons in California who can avoid those kinds of pitfalls."
Middle Eastern and Mediterranean noses usually have specific nasal characteristics and tend to have a combination of nasal-specific components such as thick skin with excess fatty tissue, a high dorsum with long nose, droopy tip, strong bony nasal humps, imbalanced nostril tip, and wide bones. Most ethnic patients seeking rhinoplasty want to improve rather than drastically change their features. Middle Eastern/Mediterranean rhinoplasty has been on the rise over the past several years as people respond to shifting standards of beauty. Rhinoplasty can reduce the size of the nose and elevate and define the nasal tip, while still creating a change which fits their face well. Rhinoplasty is not only popular among this demographic within the United States but also abroad and many travel to the U.S. for surgery. Changing global ideas of beauty have made rhinoplasty the number one facial plastic surgery performed today in Iran, Kuwait, and Egypt. What is of further interest is that more plastic surgery was performed in Iran than anywhere else in the world.
Rhinoplasty for these ethnic groups is challenging for the surgeon. Therefore, patients would do well to find a plastic surgeon that will listen, understand, and accept different facial structures; timeless beauty trends and the perspective of beauty when it comes to the uniqueness of Mediterranean and Persian ethnicity. With Middle Eastern noses, the surgeon often has to rebuild and reshape the nose to bring harmony to the nose structures. Many times the facial cosmetic surgeon needs to re-rotate the droopy tip of the nose upwards.
Surgical procedures for these special cases can be done both in open and closed rhinoplasty techniques. The decision depends largely upon the thickness of the skin and the number of cartilage grafts that are necessary to create definition. Cartilage grafts will support and define the often weak tip cartilages and are the core of creating definition without losing strength over the person's lifetime. Dr. Kevin Sadati, a top nose job plastic surgeon, has developed an accurate method of reshaping the Middle Eastern and Mediterranean nasal feature.
Many Middle Eastern (Persian) and Mediterranean noses surgery procedures require the surgeon to reduce the height of their dorsum lines and smooth their nasal humps. Rhinoplasty surgeons who understand their unique nose structure will sometimes need to perform alar (nostril) reduction to improve the nose's appearance.
Dr. Sadati explains that the Middle Eastern nose is characterized by very thick, oily skin and wide, bulbous tip cartilages. The tip skin must be defatted and the tip cartilages narrowed to achieve a refined outcome. The tip is also characterized by poor tip support and often multiple cartilage grafts are added to the tip to make it stronger. Dr. Sadati uses a combination of cartilage grafting as well as suture techniques to narrow the tip cartilages. He points out that it is also important to be conservative and not to over-remove a bump or over-rotate the nose in the Middle Eastern patient because this will not match the Middle Eastern patients' other facial features and will make the nose look unnatural.
Dr. Sadati’s rhinoplasty techniques have been developed and refined over many years of experience with Middle Eastern noses. His techniques are customized to this specific ethnic group. He performs his surgeries at a certified Newport Beach facility, located in one of the most exclusive areas in Orange County in close proximity to some of area’s top hotels—where his special guests usually stay.
