Why I Refuse to Give Everyone the Same Nose

The most common mistake in ethnic rhinoplasty is performing the same nose on every patient regardless of who they are.

Dr. Sturm practices in one of the most diverse cities in the country and thinks about ethnicity and anatomy in every rhinoplasty she performs. In this episode, she addresses the patients who come in having seen mostly before-and-afters that do not look like them, who cannot tell what those results mean for their own face. That uncertainty is not unfounded. Some surgeons produce the same nose across their entire portfolio, and if that is not the nose a patient wants, they need to know before they commit.

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Key Takeaways

1. Surgeons who produce the same nose across their full portfolio are doing exactly that. Patients who want to preserve their ethnic identity and still look like themselves need to find a surgeon whose before-and-afters reflect people who look like them.

2. Skin thickness, cartilage structure, and healing patterns are not universal. These variables differ across individuals and across ethnic backgrounds, and they shape every decision made during the procedure.

3. The term "ethnic rhinoplasty" is too broad to be useful. The surgical approach for a narrow, high-bridged nose is fundamentally different from the approach for a broader nose with thicker skin, and treating them as the same category is a clinical error.

4. The goal of rhinoplasty is enhancement, not erasure. Taking the nose out of the foreground so the features a patient loves about themselves come forward is the standard Dr. Sturm holds herself to in every case.

5. Before committing to any surgeon for this procedure, patients should ask specifically how many noses that look like theirs the surgeon has done, request in-office photos if public before-and-afters are limited, and evaluate how clearly the surgeon describes the specific surgical plan for their anatomy.

Timestamped Overview