Management of the Nasal Tip, Nasal Base, and Soft Tissue Envelope in Patients of African Descent

Facial structure, nasal shape, and aesthetic nasal preferences vary broadly among patients of African descent who seek rhinoplasty. This variation reflects the broad diversity in this ethnic group and is highlighted by lapses in computer vision algorithms in accurately recognizing black faces. Across ethnicities, patients who seek rhinoplasty have similar goals: a reshaped nose that fits their facial features and enhances their facial beauty. Among patients of African descent, there is a particularly strong desire for maintaining nasal features that are ethnically sensitive and culturally congruent. This article discusses the nuances of managing the lower third of the African nose.