Ethnic Facial Plastic and Reconstructive Surgery: Johns Hopkins | Q&A

Ethnic Facial Plastic and Reconstructive Surgery: Johns Hopkins | Q&A


[MUSIC] So the world has become
very diverse and everybody has some
ethnic background. And when we say ethnic
facial plastic surgery. What we mean is changes made to
the face within ethnic norms. Meaning it takes into
consideration features that defines someone’s ethnicity. So that you make changes
that doesn’t make you fit in the group that you belong to. This has to do with how
you reshape the eyes. It also has to do a lot with
how you reshape the nose, and sometimes the jaw, and
the structure of the face. So in general, ethnic facial
plastic surgery seeks to balance the face without making
features look out of place. For example, if someone who has
an Asian background comes to me and wants some reshaping
done to their face. One has to know how the Asian
skin response to surgery and factored into, into the surgery
we are planning the surgery. One also has to take into
consideration the jaw structure of people with Asian ethnicity. So that all the surgical
techniques that are developed will be, will be congruent
with the ethnicity. It seems true for
someone of African background. They are prone to scarring. So whereas in one
particular ethnic group, incisions can be liberally made. In someone with
an African background, you would be very careful
where you place the incisions. All these features and means
of wound healing are factored into the ethnic sensitive
facial plastic surgery. [MUSIC] So ethnic sensitive
rhinoplasty is a term that is being increasingly used to
define nasal reshaping that is ethnically congruent. What do I mean by that? If I see anyone of
Hispanic background. There are some features
on their face that I can, tells me this is
a Hispanic patient. If I put a nose on that face
that looks African-American, that nose may look
good in pictures, but it’s totally out of place. The same will go with me
putting a classically Caucasian nose on
an African face. It may look good, but
it’s out of place. So ethnic sensitive rhinoplasty
would be rhinoplasty, or nasal reshaping that gives
a natural looking nose that fits the remaining
ethnic features. Of course,
everyone who comes for nasal reshaping may not
like certain features or aspects of their nose that
they want to reshape. And as we are considering and
planning the surgery we have to take over
whole look of your face. And make sure that everything
that we change balances in the end. And ethnically sensitive
rhinoplasty looks good. It looks natural,
it doesn’t look operated, and it’s not the center of
attraction when it’s done. So people communicate with
the nice looking eyes and not with the nose. [MUSIC] There are some individuals, and it tends to be isolated
in some ethnicity. But not exclusively, who may
have very strong features that may make them either extremely
feminine, or masculine. For example, common among Asian females
will be a strong square jaw which are features that we tend
to see in the male population. And there are some specific
surgeries designed to change the shape of the jaw
to make it more feminine. And various times that I’ve
been used to describe it, a common term is called
the Haitian V-line. And what do we do? If you have an outstanding jaw,
angle of the jaw and that makes it too strong for
a feminine face. We have an ultrasonic dissector
that we can go in through the mouth and sort of contour
the jaw and make it get a nice curvature and give it a very
defined, feminine looking face. And in some cases a very strong
cheek that is just out of place. Someone has a slender
oval looking face, but a thick big cheek bone or jawbone that throws all
the picture out of balance. In jaw reshaping, we can,
really carefully and precisely, reshape those bones
to give a feminizing look. On the opposite hand, a male
may have a feminizing look, no strong jaw, weak chin. And there are things that you
can do to contour those bones to give them a very strong,
chiseled look. [MUSIC] And to start off of it, doing
your research is very good. Number one, you want to go to
a surgeon who’s very comfortable doing that procedure. Secondly you would like
someone who really understands your goals. Because I believe one of the
most common reasons that people are not satisfied with facial
plastic surgery is the inability to communicate with their
surgeons exactly what they want. It’s always my goal to make my
patients happy, and to do so I would have to know
what exactly they want. They have to have the means
of communicating with me what they want. So first be sure that you
are comfortable with the person you are consulting with. That you can communicate your
goals with them clearly. Be open to they telling you
that this cannot be done. And also factor it as
you make your decisions. Also go to someone who works
with a team that nurtures good outcome is very good that the
anesthesiologist who works with these surgeons are very capable. Because this usually is
an elective surgery. And you want to go in safely and
come out safely. The after care is
also very important. So you should look
at the whole team. The team that can work
towards getting the best outcome for you. [MUSIC] So at Johns Hopkins a division
of facial plastic surgery we have a focused interest in
ethnic sensitive surgery. What do I mean by that? We have found ways to analyze
noses of every ethnicity and faces of every ethnicity. We’ve done research
to support this. And we always push to get the
best outcome for our patients. If you choose to have
your ethnic sensitive surgery done here. We will do everything
to make sure that the experience will
be excellent for you. [MUSIC]

8 Comments

Leave a Reply

Your email address will not be published. Required fields are marked *