When working with rhinoplasty patients of various ethnicities, Dr. Bared strives to achieve natural looking results while preserving their ethnic features. The goal is always to draw attention away from the nose toward the eyes. Dr. Bared tailors each rhinoplasty procedure, taking into account the patient’s anatomy, skin thickness, nasal bone length and cartilage size.
Hands down the best surgeon! Great bedside manner, very kind, gentle, and my results are incredible and naturalistic. I couldn’t ask for a better place to have gone to! From setting up my first consult, all the way to the post-op, everything has been done professionally and transparently. I never felt confused or uncertain. The staff is also friendly and so helpful!
Dr. Bared is great. He has the aesthetic eye to work with your goals and more importantly the surgical chops to deliver. I’d say you’re in good hands. Also the staff is great and the process is simple. Easy 5/5
From the first moment I stepped in the office, I felt nothing but kindness. Everyone in the office is so welcoming and helpful. All my questions were answered in the consultation and I felt very cared for throughout the whole experience. I am super satisfied with my results!! Great doctor, absolutely recommended.
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.
can correct any of the following concerns:
Being of Hispanic descent himself, Dr. Bared personally understands that within the ethnic patient population, there are a multitude of different nasal types depending on the individual’s background.
In some cases, Hispanic noses resemble the Caucasian nose in anatomy and skin thickness. While in other cases, Hispanic patients may have a more Mestizo-type nose where the nasal bones may be shorter, the septal cartilage may be smaller, and the skin may be thicker, thus requiring a different approach altogether.
While the more Caucasian Hispanic nose may need less tip support, a reduction of a hump, and strategies for the thinner nasal skin; the more Mestizo nose may require an entirely different technique.
Hispanic patients with very weak tip cartilages may need adequate projection and grafting while patients with very strong and large cartilages may need suturing and careful reduction of their cartilages. In general, Dr. Bared employs a cartilage-sparing technique for tip refinement. In his thorough understanding of the nose, he makes reductions in very safe areas of the tip cartilages in order to help prevent an unnatural appearance of the tip and long term problems.
In the African American patient, the septal cartilage may be small. If so, additional cartilage may be needed. Grafts are used to provide better definition and shape to the nose while, at the same time, support the nose and provide for a natural appearing result.
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.
The nasal bridge may be low giving the bride a wider or flattened appearance. If so, the bridge will need elevation and support to provide for more definition and narrowing. Dr. Bared does not use synthetic plastic implants in the nose to raise the bridge, opting for the use of cartilage for his patients.
For patients who feel their nasal base is wide or their nostrils flare, Dr. Bared performs alar base reductions to help narrow the nasal base and reduce nostril flare while preserving a natural shape to the nostrils.
Septal cartilage in patients of Asian descent is often not sufficient to provide for the needed support to the tip and the bridge. If so, additional cartilage is needed. Dr. Bared does not use synthetic plastic implants in the nose, opting for the use of cartilage for his patients.
Patients of Asian descent often have thicker nasal skin. Supportive measures are needed to provide for the greatest degree of refinement while maintaining a natural appearance and prevent unwanted long term problems. Bridge augmentation helps provide for both an elevation of the bridge as well as more definition to the bridge. Strong tip support is important to provide for a framework underneath the thicker nasal skin and maximize definition. Lastly, patients may desire to reduce the width of their alar base which is achieved through alar base reductions. Dr. Bared performs alar base reductions in such a manner as to preserve a natural shape to the nostrils.
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.
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.