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Nasal refinement / African Rhinoplasty

Johannesburg plastic surgeon Dr Moshe Fayman outlines some important points to consider when contemplating a Rhinoplasty. ASM reports

Celebrities such as Halle Berry and Beyonce are just two celebrities that drive men and women to entertain a variety of aesthetic aspirations, among them refinement of the so called “african” nose.

The typical complains are the following:

  • A wide nostril base
  • Poorly defined, low projecting tip
  • Low broad bridge
  • Droopy nose.

Surgical considerations

The African nose is typically fleshy and is supported by thin and small cartilages. The bone stoke is small as well. As Rhinoplasty is an operation based on alteration of skeleton (bones and cartilages) rather then manipulations of soft tissue, the skeletal support of the nose needs to be enhanced rather then reduced. This type of nasal sculpting requires utilization of cartilage grafts, hence the professional name “augmentation Rhinoplasty”.

Cartilage grafts for nasal augmentation are usually harvested from the nasal septum (the partition between the right and left airways). Other sources of cartilage are available from other parts of the body.

Banked cartilage is available from the Tissue Bank. This resource does not require a secondary procedure for harvesting and is available in large amounts at a reasonable price. Bank cartilage is pre treated to reduce its immune state to a level that does not trigger any host immune response. It merely serves as scaffolding to support the nasal soft tissue envelope.

Aesthetic considerations

The aesthetic goals commonly set for the African Rhinoplasty include some or all of the following:

  • Reduction of nostril base.
  • Nasal tip refinement and increased support.
  • Softening of the acute angle between the nose and the upper lip
  • Elevation and narrowing of the nasal bridge
  • Softening of the junction between the forehead and the root of the nose.
  • Chin augmentation is sometimes required as a secondary procedure.

The procedure is planned to enhance and refine the beauty of the African nose, respecting its unique proportions and harmony.


  • Marie Consolee
    Posted May 25, 2018 5:17 pm 0Likes

    Im travellong next week to south Africa for 6 weeks and would be interested in discussing with you nasal refinement . Im a African female aged 42 with in mind undergoing a nasal refinement. Thank you to book me an appointment at 10am on the 30th May if possible . Tjis is my number 00229 97985106 (whatsup as well) .thanks.

  • Marie Consolee
    Posted May 25, 2018 5:19 pm 0Likes

    Please inbox me privately.

  • Masechaba Thobakgale
    Posted June 5, 2020 9:01 am 0Likes

    Am only 14, so I wanted to know if it’s possible that I can do this surgery ?

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