Boahene Kofi D O
Department of Otolaryngology Head and Neck Surgery, Johns Hopkins Medical Institute, Baltimore, Maryland.
Facial Plast Surg. 2020 Feb;36(1):46-52. doi: 10.1055/s-0040-1701628. Epub 2020 Mar 19.
Across ethnicities, patients seeking rhinoplasty have similar goals-a natural looking nose that fits and complements the rest of their facial features. Beyond a harmonious nose, patients of African descent have a particularly strong desire for ethnically congruent results in spite of individual aesthetic rhinoplasty preferences. This strong appeal for ethnically sensitive alterations is fueled by the desire to maintain physical identification with one's African ethnicity. There are psychosocial penalties when rhinoplasty outcomes stray toward complete racial transformation. Consequently, rhinoplasty in patients of African descent requires a fundamental understanding of acceptable beauty norms, associated psychological underpinnings, as well as unique facial and nasal features among Africans. Beyond these ethnically sensitive nuances, classic rhinoplasty techniques of framework modification with cartilage contouring, grafting, and bone remodeling are applicable in reshaping the African nose.
在不同种族中，寻求隆鼻手术的患者有着相似的目标——拥有一个与面部其他特征相匹配且相得益彰的自然鼻型。除了拥有一个和谐的鼻子外，尽管非洲裔患者在个体审美隆鼻偏好上存在差异，但他们特别渴望获得符合种族特征的效果。这种对种族敏感改变的强烈诉求源于保持与非洲种族身体特征认同的愿望。当隆鼻结果趋向于完全的种族转变时，会有心理社会层面的不利影响。因此，为非洲裔患者进行隆鼻手术需要对可接受的美容标准、相关心理基础以及非洲人独特的面部和鼻部特征有基本的了解。除了这些种族敏感的细微差别外，经典的隆鼻技术，如通过软骨塑形、移植和骨重塑来修改鼻支架，也适用于重塑非洲人的鼻子。
