Exploring ethnic rhinoplasty, nasal surgery, sculpture of the Black nose anatomy details by Dr. Michael Bermant, MD plastic cosmetic surgery. This patient did not like the width of her nasal bones. Dr. Bermant is often able to narrow the nose though one tiny skin incision on each side. There are many possible modifications of the nasal bones with rhinoplasty surgery.
Techniques depend on the problem to be solved.
Each patient's nose is treated as a unique surgical sculpture by Dr Bermant. There is a graphic sounding movie of this part of the operation here . The advantage to the external approach is less damage to surrounding tissues during the sculpture and more precision in the bone cut. With this patient, Dr. Bermant also divided the top part of the bone to narrow the nose. This part of the bony sculpture was done through the open rhinoplasty incision.