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Middle Eastern and Mediterranean Rhinoplasty in NYC

Middle Eastern and Mediterranean noses usually have specific nasal characteristics. Some of the noses appear larger than average Caucasian noses. The Middle Eastern and Mediterranean noses tend to have these combinations of nasal-specific components: thick skin with excess fatty tissue, high dorsum with long nose, droopy tip, strong bony nasal humps, imbalanced nostril tip, wide bones, and ill-defined nasal tip. Although not every Middle Eastern person’s nose is categorized as above, the ones who are unhappy with their nose's appearance or are having difficulties breathing often have many of these features.

Most ethnic patients seeking rhinoplasty want to improve rather than drastically change their features. People of middle Eastern/Mediterranean descent are not denying their heritage but responding to the shifting standards of beauty. Middle Eastern/Mediterranean rhinoplasty has been on the rise over the past several years. People from this background tend to have not only large noses but drooping nasal tips, although with significant variability. Cosmetic surgery 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 ethnicity within the U.S. but also abroad and many travel to the U.S. for surgery. Global changing ideas of beauty have made nose job the #1 facial plastic surgery performed today in Iran, Kwait, and Egypt. What is further of interest is that more plastic surgery was performed in Iran than anywhere else in the world.

Plastic surgery for these ethnic groups is quite a challenge for the surgeon, therefore patients need to find a good facial plastic surgeon who listens, understands and accepts the different facial structures, ever-lasting beauty trends and respects the perspective of beauty when it comes to the uniqueness of one's ethnicity. With Middle Eastern noses, the surgeon often has to rebuild and reshape the nose to bring an overall harmony to the nose structures and many times the facial cosmetic surgeon needs to re-rotate the droopy tip of the nose upwards.

Nose Surgery

Nose surgery procedures for these ethnicities can be done both in open and closed rhinoplasty techniques, depending on the thickness of the skin and the number of cartilage grafts that are necessary to create definition. Cartilage grafts in these ethnicities support and define the often weak tip cartilages and are the core of creating definition without losing strength over the person's lifetime. Dr. Sam Rizk, our chief medical advisor and a top nose job plastic surgeon has developed an accurate method of defatting the Middle Eastern and Mediterranean skin

with 3D technology. The cartilage grafts are rounded out and sculpted with specialized diamond-powered rotating equipment, pioneered by Dr. Rizk to achieve a smooth result and refine the nose’s appearance.

Many Middle Eastern and Mediterranean noses surgery procedures require the surgeon to reduce the height of their dorsum lines and smooth their nasal humps. Plastic surgeons who understand their unique nose structure will sometimes need to perform alar (nostril) reduction to improve the nose's appearance.

Dr. Rizk explains, 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 need to be 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 and more defined. Dr. Rizk uses a combination of cartilage grafting as well as suture techniques to narrow the tip cartilages in the middle eastern nose. Dr. Rizk 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 operated and unnatural.

Dr. Sam Rizk's nose surgery techniques have been developed and refined over many years of experience with middle eastern noses and he publishes and teaches rhinoplasty at many international conferences (please see In the Media section). Dr. Rizk has been invited as an expert panelist at facial plastic surgery conferences worldwide.  His techniques are customized and may include endonasal or open rhinoplasty. Dr. Rizk has developed new cartilage sculpting technology to achieve a natural soft result and has introduced the use of 3d high definition telescopes in endonasal rhinoplasty to achieve a more precise bump removal (see In the Media section articles). Dr. Rizk does not use nasal packing after rhinoplasty and has developed various innovations to allow for a rapid recovery. Dr. Rizk has a large patient base of celebrities and royalties who travel from middle eastern countries to New York for their surgery and are usually able to return to their home country within a week following the procedure. Dr. Sam Rizk has his own certified park avenue facility where he performs surgery, located in one of the most exclusive areas in New York City in close proximity to some of New York City's top hotels where his foreign patients usually stay.

  • Case 1 - Before and After rhinoplasty Photos - front view
    Case 1 - Before and After rhinoplasty Photos - side view
    Case 1 -  2 years  After  rhinoplasty Photos

    A 26 year old female is pictured here prior to the operation and then six months as well as two years after the surgery. The surgery entailed raising the tip of the nose which was drooping as well as shortening the nose slightly.

  • Case 2 - Before and After rhinoplasty Photos - front view
    Case 2 - Before and After rhinoplasty Photos - side view

    22 yo Middle Eastern female interested in nose surgery. Patient underwent 3D endonasal rhinoplasty and is shown after surgery. Patient also had repairs to the deviation of the nose to the left at the same time and refinement of her nasal bridge and tip. Dr. Rizk likes this type of high bridge on this patient because it matches her face, cheeks and chin very well.

  • Case 3 - Before and After rhinoplasty Photos - front view
    Case 31 - Before and After rhinoplasty Photos - side view

    26 year old female complains of nasal bump and lack of tip definition. Patient also had breathing difficulty. Patient is shown after septorhinoplasty with cap graft and columellar strut graft for nasal tip as well as bilateral spreaders as patient had a pinched mid-nasal vault. Bump was removed and tip was defined. Columella was hanging and was lifted as well.

  • Case 4 - Before and After rhinoplasty Photos - front view
    Case 4 - Before and After rhinoplasty Photos - side view

    22 year old female who underwent endonasal 3D rhinoplasty to lift her tip, remove her bump and narrow the tip. Patient is shown postoperatively. Note that patient has a history of using a nose ring on the left side and has a slight indentation asymmetry from the nose ring.

  • Case 5 - Before and After rhinoplasty Photos - front view
    Case 5 - Before and After rhinoplasty Photos - side view

    22 year old Middle Eastern female underwent 3D endonasal minimally invasive rhinoplasty to remove the nasal bump and refine the nasal tip. This Middle Eastern patient has a typical tip drop found in Middle Eastern rhinoplasty patients and the tip was also elevated. Dr. Rizk's aesthetics is a feminine but natural profile as shown. Every nose Dr. Rizk performs is different as is every profile which must be in harmony with the rest of the face. Patient is shown post-surgery at 6 months.

  • Case 6 - Before and After rhinoplasty Photos - front view
    Case 6 - Before and After rhinoplasty Photos - side view

    26 yo Greek/Mediterranean patient who underwent rhinoplasty to elevate nose, remove nasal bump and narrow the tip. It is very common in Greek patients to require tip support and in this case a columellar strut was used to support the nasal tip. Specialized grafts were used to define the nasal tip.

  • Case 7 - Before and After rhinoplasty Photos - front view
    Case 7 - Before and After rhinoplasty Photos - side view

    28 year old Indian male who complains of his bump and drooping nasal tip. In indian and ethnic rhinoplasty it is important to support the nasal tip with cartilage grafts. In this case, the patient's tip was lifted and supported with a columellar strut as well as 2 tip grafts under his thick skin. The bump was reduced very conservatively and he even has a slight convexity of the bridge on postoperative profile. Indian patients are very sensitive to the scooped or very low dorsum so it is very important to create a very natural profile that is masculine. Patient is shown one year after procedure.

  • Case 8 - Before and After rhinoplasty Photos - front view
    Case 8 - Before and After rhinoplasty Photos - side view

    25 year old Indian/middle eastern patient with typical ethnic rhinoplasty characteristics of thick tip skin, wide nostrils, drooping nasal tip and weak tip support. Patient also has frontal asymmetry of the nose. Patient underwent septorhinoplasty and nostril reduction. Cartilage grafts were placed in the patient's tip from her own nasal septum to support and define her tip. The nostril reduction was performed from an incision on the inside rather than the outside of the nostril. The right nostril was much larger than left nostril before rhinoplasty. The bump was removed conservatively. Ethnic rhinoplasty patients do not like major nasal rotation up or a very low nasal bridge. Results are shown postoperatively at 1 year.