How’s a rhinoplasty for an African American different? Mr. R

Hi Mr. R, traditional rhinoplasty techniques used by most surgeon’s leave the nose looking pinched, turned up and in poor overall harmony with the patients face. This makes the nose looked “done.” The shape of the African American (AA) nose comes from 1) the shape of the bone and cartilage under the skin and 2) the skin and soft tissue that drapes over the bone/cartilage.  The rhinoplasty will change the shape of the bone/cartilage as it redrapes the skin over the new frame to get the desired result.  However, in the AA nose, this framework is usually not supportive due to the small/flat nasal bones and weak/floppy cartilage.   With the skin and soft tissue being relatively thick and rigid, it will not reflect the changes made to the bone and cartilage beneath, very well.  These peculiarities make it crucial that you find a surgeon that has a deep understanding of the aesthetics of the AA nose.  Special techniques designed for the AA patient must be applied skilfully to achieve excellent results. A customized plan based on the surgeons understanding of the unique structure of the AA nose and the individual patient’s desires both have to be taken into consideration.

My identical twin is unhappy with her nose and wants us both to have rhinoplasty. I think my/our nose is fine and really don’t want to change it because I’m afraid of the possible risks and complications. What could go wrong with this type of procedure? Jill

Hi Jill, thanks for your question. The decision to have plastic surgery is extremely personal. Besides making your twin sister happy, you will have to decide if the benefits will achieve your own goals and if the risks and potential complications of rhinoplasty are acceptable. These risks or complications include: bleeding (hematoma), infection, anaesthesia risks, poor wound healing/ scarring, numbness or pain, nasal septal perforation, difficulty breathing, skin discoloration and swelling, unsatisfactory nasal appearance. While initial swelling subsides within a few weeks, it may take up to a year for your new nasal contour to fully refine. During this time you may notice gradual changes in the appearance of your nose as it refines to a more permanent outcome. As your body ages, it is natural to have some gradual changes to your face including your nose. But most of your improvement should be relatively permanent. A healthy lifestyle and life-long sun protection will help extend the results of your new appearance. These risks and others will be fully discussed prior to your consent. It is important that you address all your questions directly with your plastic surgeon.

Can a breast lift help me? Shirley B.

Hi Shirley, thank you for your question. A breast lift is recommended for sagging and uneven breasts, decreased breast volume and drooping nipples and stretched areolas (the darker area surrounding the nipples), to recreate a youthful shape and lift to your breasts. If there is too little or too much breast volume, a breast augmentation or breast reduction might be recommended in addition to a lift. It is commonly done for those whose breast shape has sagged due to pregnancy, nursing, gravity, weight gain or loss, normal aging, and heredity. Such procedures will improve breast shape, projection, and symmetry, giving the breasts a more youthful appearance, giving the patient a measure of self-confidence. However, the effects of a breast lift might slowly diminish over time because of gravity and aging. A breast lift leaves scars that will be hidden in a bra or swimsuit but more importantly, subsequent pregnancy may\ compromise your surgical results.

Can a fat transfer from my abdomen be done to increase my breast size? Bubbles

Hi Bubbles, those with large tummies can harvest fat from this area to augment their breasts. This procedure has become more widely accepted for breast enhancement. The tummy is an excellent donor area for transferring fat, having the advantage of removing unwanted fat at the same time. Breast enlargement with fat grafting will not give you as much enlargement as you can have with breast implants, but it can be improved by a second repeat treatment. On the other hand, fat can give breast contour improvements that cannot be accomplished with implants alone. The grafted fat is generally placed around your actual breast tissue, rather than in the gland itself, so it is unlikely to affect later breast feeding, but this has not been extensively studied. You can expect an increase of 1/2 to 1 cup size per setting. The cost of each fat grafting to the breast can be very similar to the cost of a breast augmentation with saline implants.


My hands are starting to look brittle and have protruding veins. Is fat grafting for the hands good for me? Edward

Hi Edward, fat transfer, also known as fat grafting or fat injections is a natural, minimally invasive treatment for those seeking breast/buttock augmentation or replacing age-related lost volume and subtly smoothing out wrinkles. Fat is removed, using liposuction from various parts of the body where there is a substantial amount, such as the thighs, abdomen and/or buttocks. The fat is then centrifuged, or purified, to separate the healthy fat cells from the damaged ones, and injected into another area of the body that is lacking in volume. Fat transfer or grafting is recommended for hands that may look brittle with protruding veins, bones and tendons. While there are various factors that can cause this, ageing more than any other thing, causes this on hands that lose its volume and become loose and relaxed. One benefit of fat grafting when compared to fillers and implants, is that the results of fat grafting lasts 10 times longer – up to 10 years, and because the source of the ‘organic filler’ is already in your body, it is perfectly well tolerated in the long term. Fat grafting into your hands is effective for adding volume, “plumping up” wrinkled areas, covering underlying vessels and tendons and improving the quality of your skin over time.