Much has been written about the rhinoplasty capital of the world. No, it is not Beverly Hills or New York City, it is Tehran, Iran. Rhinoplasty is as much of the culture as the food or style of dress. For many patients who are from Iran (Persia) in the United States, rhinoplasty or nose reshaping remains an important area of concern. There are differences between Persian patients in the US as opposed to those in Iran. “While patients from Iran think of rhinoplasty as a sign of wealth and status, those in the US want a more sophisticated look.
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, board-certified facial plastic surgeon in Newport Beach, many patients are placing a higher priority than ever 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 or Persian 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.”
Persian 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 Persian patients seeking rhinoplasty want to improve rather than drastically change their features. Iranian and 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. 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 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.
Rhinoplasty 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. Kevin Sadati, a top nose job plastic surgeon has developed an accurate method of reshaping the Middle Eastern and Mediterranean skin
Many Iranian (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, 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. Sadati uses a combination of cartilage grafting as well as suture techniques to narrow the tip cartilages in the Persian nose. Dr. Sadati 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. Sadati’s rhinoplasty techniques have been developed and refined over many years of experience with Middle Eastern noses. His techniques are customized and may include a closed or an open rhinoplasty. Dr. Kevin Sadati 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 Orange County’s top hotels where his foreign patients usually stay.