The Middle Eastern Nose

The Clinical Problem

The presentation is of a young man, with a nasal hump in mid-profile and with a relatively straight septum, ptotic tip, and medium to thick skin; he presents no complaints of airway issues. Patient is in his late teens and has always thought his nose was too large for his face. He will be entering college and would like to make his face more symmetrical. The patient is looking for a nose that fits his features, but is not looking for a European nose, as he wants to preserve his ethnic identity. The patient is looking to reduce the excessive large dorsal hump and not to have an overly rotated tip. He feels that these changes would make him more attractive as he now would like to proceed with dating. The parents accompany the patient to the consultation; they understand the son’s concerns and are in agreement for him to proceed with the surgery. Their expectations of the aesthetic outcome are realistic. It is very important at this time that parents are also well informed to what can be surgically delivered.

The second patient is a 24-year-old Persian female from an area of Iran near the Turkish border. She presents with a small nasal hump in mid-profile and with a relatively straight septum, ptotic tip, and medium to thick skin; she presents no complaints of airway issues. She is looking for a very natural and nonoperative look. She presents to the consultation with her mother and has reasonable expectations; she is not looking for a perfect nose. Her chief complaint is that she is looking for a slightly reduced dorsum and slightly rotated tip. Preoperative pictures were used to discuss the minor changes.