Facial plast Surg 2010; 26(2): 131-141
DOI: 10.1055/s-0030-1253499
© Thieme Medical Publishers

African-American Rhinoplasty

Anand D. Patel1 , Russell W.H Kridel1 , 2
  • 1Department of Otolaryngology–Head and Neck Surgery, Division of Facial Plastic Surgery, University of Texas Health Science Center, Houston, Texas
  • 2Facial Plastic Surgery Associates, Houston, Texas
Further Information

Publication History

Publication Date:
04 May 2010 (online)


Increased width, loss of definition, and lack of projection characterize the stereotypical African-American nose. Early rhinoplasty surgeons attempted strict adherence to neoclassical aesthetic ideals. However, in reality, the anatomy and aesthetic desires of these patients are much more complex. Building dorsal height, achieving nasal tip definition amidst thick skin, and producing a more aesthetically pleasing alar base are the major challenges. Surgical planning should be sensitive to both individual and cultural differences in aesthetic perception and expectations. Here we describe the techniques used by the senior author (R.W.H.K.).