The goals of rhinoplasty are common across all ethnicities. Patients desire to have natural-appearing results that take attention away from the nose and towards the eyes. Dr. Bared tailors each rhinoplasty procedure to the individual, making improvements while honoring the patient’s unique ethnic features.
Dr. Bared is a renowned facial plastic and reconstructive surgeon in Miami, specializing in rhinoplasty and hair restoration. He is dual board certified by the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology.
Highly regarded for his natural looking results, he has been featured on NBC, Telemundo and Lifetime; is published in the Journal of the American Medical Association; is a frequent invited speaker at national and international plastic surgery conferences; and has contributed to several books on the outcomes and safety of facial rejuvenation.
In recent years, more patients of African ethnicity are seeking the potential refinements of a rhinoplasty procedure. Dr. Bared strives to achieve a natural look in harmony with the patient’s overall facial features. Refinements to the tip are balanced with refinements to the width of the bridge.
In the African American patient, the septal cartilage may be small. If needed, additional cartilage may be taken from behind the ear. Grafts are used to provide shape to the nose while, at the same time, support the nose.
Another technique employed in African American rhinoplasty which helps to create tip refinements is the careful de-fatting of the nasal tip skin.
Often the skin of the tip in the African American patient is thickened secondary to a layer of fat found between the skin and the nasal tip cartilages. This layer of fat can be carefully removed to allow for the skin to re-drape over the cartilages and allow for the refinements made to the cartilages to become more evident.
Many patients seek Dr. Bared’s expertise in his approach to the enhancement and narrowing of the bridge. Rather than utilizing implants in the nose to augment the bridge, Dr. Bared only utilizes the patient’s own cartilage and tissue to refine and augment the bridge.
can correct any of the following concerns:
For some patients, a sharper, pointier nasal tip is deemed perfect. Others may prefer a more rounded, natural look. Whichever outcome you desire, Dr. Bared will take into consideration the distance between the eyes, the shape of the face, and the existing anatomy of the nose.
Dr. Bared utilizes a computer imaging tool during the pre-op consultation to establish rapport with his patients and ensure that the vision matches the execution. By visualizing the potential results on a screen, patients are able to communicate their goals and discuss realistic expectations.
Rhinoplasty itself involves manipulating the bone and sculpting cartilage with acute precision. Dr. Bared typically uses cartilage from the the septum, which is the cartilage that divides both sides of the nose, and strategically places the grafts at the tip to support the bridge of the nose. The use of cartilage grafts prevents compromising the long term shape and function of the nose.
For the most natural results, Dr. Bared:
Rhinoplasty is performed under general anesthesia to promote your comfort and safety during the procedure.
The First 24 Hours
The procedure is generally performed as an outpatient. You will see Dr. Bared in the office the day following your surgery. He will prescribe you with antibiotics that you will take orally, and recommend that you use ice packs to reduce any swelling and pain.
The First Week
Plan for one week of downtime from work or school. It may also be best to stay indoors to avoid excessive sweating while the cast is in place. You should begin to notice the initial swelling from the surgery subside over the next 10 days.
The First Month
After your cast is removed, your nose will appear wide for some time. This type of swelling along with contraction of the skin is normal and expected after a rhinoplasty procedure. It is important to maintain close follow-up with Dr. Bared during the recovery process as measures can be taken to improve the healing of the nose.
Full Recovery
Rhinoplasty results take time to manifest as the skin needs time to heal and the swelling to subside. Final results will be revealed over time.
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