Exploring ethnic rhinoplasty, nasal surgery, sculpture of the Black nose anatomy details by Dr. Michael Bermant, MD plastic cosmetic surgery. This patient has a depression between her nasal bones and tip. Narrowing the bones and tip would increase the difference without building up this region. Dr. Bermant used an upside down U shaped graft from the septum and secured it to underlying cartilage.
Grafts can be powerful sculpting tools in reshaping the nose.
Donor sites most commonly used include the septum, ear, skull, and ribs. A graft needs to get its blood supply from its new home. Here the graft is sized for the region. Dr. Bermant then shaped the graft before inserting. The graft is under the skin but not yet seated in the depression.