Bermant Plastic Cosmetic Rhinoplasty Nose Surgery Black African Afroamerican

Removal of the dorsal hump (bump on the top of the nose) required lowering the deformity of both cartilage and bone. This was done through an open rhinoplasty. An incision was made through the skin of the columella (post of tissue between the nostrils. The cuts continued inside the nose. Tissue was then elevated just above the cartilages. A series of rasps (very sharp surgical files) then removed the extra bone and cartilage. Scissors and scalpels than finely trimmed the remaining extra cartilage. I sometimes also use some very sharp chisels to perform this surgical sculpture. You can see a movie of this surgical technique. Since the images are graphic, you may want to skip this demonstration. Click on the central image for a larger version and anatomy details.

I also refined the nasal tip by narrowing very slightly the width of the lower lateral cartilages. These cartilages hold up the lowest parts of the nose the ala. The reduction can improve the gradual roundness of the tip.

Seen from below the changes are dramatic. As the interalar width was reduced, the tip came up. The entire dorsum was designed to come up together. The upper part of the nose moved with the bone infractures.