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Rhinoplasty can help you address these issues with refinement and reduction.

Ptotic tips need to be supported in the proper position. This is done in a variety of ways including special sutures, columella strut grafts and lowering of the dorsal septum. An ethnic rhinoplasty procedure is designed to address facial concerns while maintaining your cultural distinctions.

No more then any other patient.

Good thought. your tip would be re supported with sutures or columella "struts" to sit in a pleasing position and not be left hanging.

Absolutely! The art of rhinoplasty is balancing the nose with the rest of the face. One of the things that currently makes your nose look so bad to you is that it is probably way out of proportion to the rest of your face. During your consult we can do some computer imaging to show you the changes in your nose will be done to harmonize with your face.

Most often this refers to the attempt at turning an ethnic (African American, Latin, Asian) type nose into one that is Caucasian and Nordic in appearance.

From a technical point of view African Americans are at greater risk of having slightly more visible scars when nostril reduction is performed and not achieving enough tip refinement as desired due to thick skin. A more important issue is being able to decide and communicate how much ethnic identity to preserve or change with your surgery.

Tastes change over time and so do concepts of what is attractive. At one time the very "scooped" or concave bridge was considered desirable and sought after. Most patients today prefer a stronger more natural bridge. If a "scooped" appearance is not desirable to you then it is most important to discuss this with your surgeon beforehand and it can easily be avoided.

Unrealistic expectations would be my most significant cause. Otherwise thick, fibrotic, scarred skin and multiple previous surgeries would not portend a good result.

The same as in any patient. Septal extension or rim retraction is used.