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So the world has become very diverse and
everybody has some ethnic background.
And when we say ethnic facial plastic surgery.
What we mean is changes made to the face within ethnic norms.
Meaning it takes into consideration features that
defines someone's ethnicity.
So that you make changes that doesn't make you fit in
the group that you belong to.
This has to do with how you reshape the eyes.
It also has to do a lot with how you reshape the nose, and
sometimes the jaw, and the structure of the face.
So in general, ethnic facial plastic surgery seeks to
balance the face without making features look out of place.
For example, if someone who has an Asian background comes to
me and wants some reshaping done to their face.
One has to know how the Asian skin response to surgery and
factored into, into the surgery we are planning the surgery.
One also has to take into consideration the jaw structure
of people with Asian ethnicity.
So that all the surgical techniques that are developed
will be, will be congruent with the ethnicity.
It seems true for someone of African background.
They are prone to scarring.
So whereas in one particular ethnic group,
incisions can be liberally made.
In someone with an African background,
you would be very careful where you place the incisions.
All these features and means of wound healing are factored
into the ethnic sensitive facial plastic surgery.
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So ethnic sensitive rhinoplasty is a term that
is being increasingly used to define nasal reshaping that is
ethnically congruent.
What do I mean by that?
If I see anyone of Hispanic background.
There are some features on their face that I can,
tells me this is a Hispanic patient.
If I put a nose on that face that looks African-American,
that nose may look good in pictures, but
it's totally out of place.
The same will go with me putting a classically
Caucasian nose on an African face.
It may look good, but it's out of place.
So ethnic sensitive rhinoplasty would be rhinoplasty, or
nasal reshaping that gives a natural looking nose
that fits the remaining ethnic features.
Of course, everyone who comes for
nasal reshaping may not like certain features or
aspects of their nose that they want to reshape.
And as we are considering and planning the surgery
we have to take over whole look of your face.
And make sure that everything that we change balances
in the end.
And ethnically sensitive rhinoplasty looks good.
It looks natural, it doesn't look operated, and
it's not the center of attraction when it's done.
So people communicate with the nice looking eyes and
not with the nose.
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There are some individuals, and
it tends to be isolated in some ethnicity.
But not exclusively, who may have very strong features that
may make them either extremely feminine, or masculine.
For example,
common among Asian females will be a strong square jaw
which are features that we tend to see in the male population.
And there are some specific surgeries designed
to change the shape of the jaw to make it more feminine.
And various times that I've been used to describe it,
a common term is called the Haitian V-line.
And what do we do?
If you have an outstanding jaw, angle of the jaw and
that makes it too strong for a feminine face.
We have an ultrasonic dissector that we can go in through
the mouth and sort of contour the jaw and make it get a nice
curvature and give it a very defined, feminine looking face.
And in some cases a very strong cheek that is just out of place.
Someone has a slender oval looking face, but
a thick big cheek bone or
jawbone that throws all the picture out of balance.
In jaw reshaping, we can, really carefully and
precisely, reshape those bones to give a feminizing look.
On the opposite hand, a male may have a feminizing look,
no strong jaw, weak chin.
And there are things that you can do to contour those bones to
give them a very strong, chiseled look.
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And to start off of it, doing your research is very good.
Number one, you want to go to a surgeon who's very comfortable
doing that procedure.
Secondly you would like someone who really understands
your goals.
Because I believe one of the most common reasons that people
are not satisfied with facial plastic surgery is the inability
to communicate with their surgeons exactly what they want.
It's always my goal to make my patients happy, and to do so
I would have to know what exactly they want.
They have to have the means of communicating with me
what they want.
So first be sure that you are comfortable with the person
you are consulting with.
That you can communicate your goals with them clearly.
Be open to they telling you that this cannot be done.
And also factor it as you make your decisions.
Also go to someone who works with a team that nurtures good
outcome is very good that the anesthesiologist who works with
these surgeons are very capable.
Because this usually is an elective surgery.
And you want to go in safely and come out safely.
The after care is also very important.
So you should look at the whole team.
The team that can work towards getting the best
outcome for you.
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So at Johns Hopkins a division of facial plastic surgery we
have a focused interest in ethnic sensitive surgery.
What do I mean by that?
We have found ways to analyze noses of every ethnicity and
faces of every ethnicity.
We've done research to support this.
And we always push to get the best outcome for our patients.
If you choose to have your ethnic sensitive
surgery done here.
We will do everything to make sure
that the experience will be excellent for you.
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