How to Choose the Ideal Nose Job Shape for Rhinoplasty Surgery –

Electing to undergo rhinoplasty – also called a ‘nose job’ – is a big decision. The results will affect your appearance for the rest of your life. Rhinoplasty surgery is truly a combination of science and art!

When performed with skill using state-of-the-art surgical techniques and artistic principals, a nose job can be life changing! In this article, Dr. Ali shares six helpful “rules” to ensure that you select the nose shape, size and proportions that will give you the best rhinoplasty results.

#1. Be Realistic About Your Nose Job Shape

State-of-the-art rhinoplasty can indeed transform a nose, sometimes dramatically, but the basic “architecture” or underlying structure can (and should) only change so much.

Noses are definitely not “one size fits all” So, remember a nose that looks great on someone else may look awkward on you. All good nose jobs have at least one thing in common — a natural looking appearance from all angles. The most attractive nose will be one that is in harmony with your other facial features.

For example, Nicole Kidman’s tiny upturned nose looks lovely on her delicately boned face – but would be disproportionately small if placed alongside, say, Kim Kardashian’s big eyes and full lips. Conversely, Kim Kardashian’s elegant nose was subtly contoured during her rhinoplasty – but was not reduced much if at all – so that it would still look natural and in balance with her other features.

#2. Honor Your Ethnicity with Your Nose Job

Just as people from different ethnic backgrounds have different hair texture, eye color or skin tone – people of different ethnicities also generally have different external nasal shapes and different internal nasal structure.

A nose job should enhance your appearance without changing “who you are.” Many less experienced rhinoplasty surgeons want to give everybody a “Caucasian” nose. This can not only look out-of-place on an Asian or African American individual, but can also erase their important ethnic heritage.

Dr. Ali understands the unique nasal characteristics of different ethnicities – and he has the skill and experience to enhance your beauty, while retaining a natural appearance that doesn’t change “who you are”!

#3. Nose Jobs Should Reshape Not Remove

A strong and well-proportioned nasal skeleton is the key to a nose job that looks great and lasts a lifetime. Simply removing large amounts of cartilage weakens the skeletal support, often producing in deformity or collapse over time. An example of excess cartilage removal is Michael Jackson’s nose job – which left him with almost no nose at all!

Rather than removing cartilage, a skilled surgeon will preserve skeletal support by reshaping, repositioning, or reinforcing the tip cartilage, not removing it.

The opposite of removing too much cartilage is adding too much to the nasal structure with synthetic implants.  Often Asian women wish to build up the tip of their nose – and surgeons using outdated techniques will implant silicone or Gortex tips. However, synthetic implants often migrate and move over the years – and can even extrude through the skin. Most patients with implants will need to have them removed and/or revised at some point over time.

However, nose jobs using autologous grafts – which are cells taken from your own body to build the nasal bridge – become incorporated into your nose, and therefore do not migrate – providing lifelong results. Dr. Ali uses autologous grafts to provide the most permanent, natural, and beautiful results in nose job patients who wish to build up the bridge or tip of their nasal structure.

#4. Nose Job “Perfection” Is Unrealistic

Even the most beautiful women (and men) in the world do not have perfectly symmetrical noses. Perfect symmetry not only looks unnatural, but also throws off the balance of other features (such as eyes and lips) that are also not naturally symmetrical.

Dr. Ali encourages his patients to bring in several photographs of how they envision the results of their nose job. Look for photos of people who have similar facial shape and features as yours. If you have, for example, narrower eyes and a heart shaped face, look at photos of people like Jennifer Aniston, Jessica Biel or Taylor Swift. However if you have a more round face and big eyes, you may wish to look at photos of movie stars like Kaley Cuoco, Mila Kunis or Emma Stone…all of whom have a slightly wider nose that balances their features.

And remember, a nose job is not designed to make you look like someone else – such as your favorite celebrity or influencer. Successful rhinoplasty surgery should make you look like the best version of YOU!

#5. Choose the Right Rhinoplasty Surgeon

In the hands of a talented, experienced and artistic board certified plastic surgeon, nose job surgery can be life changing! Patients can emerge from rhinoplasty surgery with a more attractive and proportionate nasal shape that will look natural and balanced.

However, poor or outdated surgical techniques performed by a less qualified surgeon can lead to disappointment and even permanent deformity. So it is important to choose a board certified plastic surgeon like Dr. Ali who has performed hundreds of rhinoplasty surgeries in his Detroit area cosmetic surgery practice. Looking at a plastic surgeon’s Rhinoplasty Before & After Photos can be a great way to asses his level of skill and experience!

Dr. Ali has the experience, artistic skill and technical expertise, to help you choose the right nose shape for your face – and the ability to accomplish your appearance goals. \

#6.  See Your Nose Job Before Your Surgery with 3d Imaging

AMAE Plastic Surgery is among the first and only plastic surgery practices in the Detroit area to offer state-of-the-art Vectra 3D imaging. This revolutionary computerized imaging system provides a three-dimensional digital image of the patient’s nose from any and every angle – so that Dr. Ali can show you your nose shape options and expected outcomes before your rhinoplasty surgery!

With Vectra M2 3D patients can compare “before and after” nose job views side-by-side, so that they are able to see an approximation of the new nose shape and size that rhinoplasty surgery can deliver. Vectra M2 3D imaging takes the surprises and uncertainty out of rhinoplasty surgery, so you know what to expect when the bandages are removed.

Best Detroit Area Nose Job Surgeon

If you are considering rhinoplasty, Detroit area board certified plastic surgeon Dr. Ali will offer you a consultation to assess your nasal structure and discuss your appearance goals. He understands both the state-of-the-art techniques and the artistic implications of enhancing your beauty while retaining a natural appearance that complements your facial features.

Dr. Ali has helped hundreds of women and men in the Detroit area love their appearance and improve their confidence with successful nose job surgery. Get the nose you have always wanted with a nose job at AMAE Plastic Surgery,  and be the best version of “you” that you can be!

Schedule a Nose Job Consultation with Detroit area Plastic Surgeon Dr. Ali: 248-335-7200

The Art of Rhinoplasty (Nose Jobs) for African Americans –

Just as people from different ethnic backgrounds typically have different hair texture, eye color or skin tone – people of different ethnicities also generally have different nasal shapes. Usually, though not always, men and women of African American descent have a shorter nose and/or a wider base of the nose, with so-called “flared” nostrils.

Ideals of beauty vary from culture to culture, from country to country to country, and even from decade to decade. It takes a talented rhinoplasty surgeon like Dr. Ali to understand how to enhance a patient’s natural beauty by restructuring the nose to complement the rest of the face, without erasing the ethnic heritage that makes you who you are.

In other words, it is important for African Americans to seek out a plastic surgeon who does not just “generalize” African rhinoplasty and give everyone a “Caucasian” nose.

An African American rhinoplasty specialist, like Detroit area board certified plastic surgeon Dr. Ali, will take a more personalized approach to rhinoplasty. For men and women of color, Dr. Ali will customize each patient’s nose job surgery to enhance their appearance without erasing “who they are.”

Considerations of African American Nose Jobs

Some of the distinct characteristics of African American noses are visible from the outside. However, there are also other differences that only the plastic surgeon sees within the nasal structure itself, below the surface. Because the anatomy of the nasal framework and nasal bones of African American patients can differ from other ethnicities, it is essential that the plastic surgeon understand these differences.

The cartilage in the “tip” of African Americans noses tends to be less prominent than in Caucasians or Asians. This smaller projection can result in a nose that is wider and nostrils that are “flared”. Surgeons using outdated techniques will sometimes implant a silicone or Gortex tips in Black patients who wish greater nasal ‘projection’. However, this is ill-advised. Synthetic implants often migrate and move over the years – and can even eventually poke through the skin. Most patients with implants will need to have them removed and/or revised at some point over time.

Instead of implants, Dr. Ali uses autologous grafts – which are cells taken from the patient’s own body to build the nasal bridge. These cells the become incorporated into the patient’s  nose, and therefore do not migrate – providing lifelong results.

Another consideration of Black nose jobs is care not to remove too much tissue in an attempt to make a nose smaller. Removing large amounts of nasal cartilage weakens the skeletal support, often resulting in deformity or complete collapse over time. An example of too much cartilage removal is Michael Jackson’s nose job – which left him with almost no nose at all!

Rather than removing cartilage, a skilled surgeon will preserve skeletal support by reshaping, repositioning, or reinforcing the tip cartilage, not removing it.

Nose Job Surgery and Black Skin

Additionally, the nasal skin of African American populations is often thicker as well as more prone to scarring than the skin of other ethnicities.  Dark-skinned people develop thick ‘keloid’ scars 15 times more frequently than lighter-skinned individuals. A skilled plastic surgeon will understand this – and take the steps to to ensure that there is no visible scarring.

Also, because the nasal bones of some black men and women have a more horizontal than vertical orientation, simply fracturing the nasal bones often will not allow them to be narrowed sufficiently. In these cases, the autologous tissue grafts discussed above are better for increasing the definition of the bridge of the nose. This process can build up a low nasal bridge and wider tip, to improve facial balance and proportion, without giving Black patients a nose that looks “out of place.”

See Your Nose Job Before Your Surgery with 3d Imaging

AMAE Plastic Surgery is among the first and only plastic surgery practices in the Detroit area to offer state-of-the-art Vectra 3D imaging. This revolutionary computerized imaging system provides a three-dimensional digital image of the patient’s nose from any and every angle – so that Dr. Ali can show you your nose shape options and expected outcomes before your rhinoplasty surgery!

With Vectra M2 3D patients can compare “before and after” nose job views side-by-side, so that they can see an approximation of the new nose shape and size that rhinoplasty surgery can deliver.

African American Nose Jobs (Rhinoplasty) Surgeon

Dr. Ali understands that one-size-fits-all never applies to beautiful noses. He will customize a rhinoplasty for you that offers the aesthetic alterations you desire, without erasing your important ethnic background.

Before performing an African American rhinoplasty procedure, Dr. Ali will carefully examine your nasal structure and consult with you on the best course of action to ensure a naturally beautiful result – ensuring optimal harmony between the nose and the rest of your face, while preserving the natural beauty of your proud African American heritage.

Black Nose Job Specialist | Detroit Area: 248-335-7200

Top Detroit Plastic Surgeon Dispels Myths About Nose Jobs –

Many of us look in the mirror and wish we could tweak our features. And while you can make your teeth straighter with braces, or your eyelashes longer with mascara, changing the appearance of your nose takes a little bit more work.

The good news is that modern rhinoplasty techniques have replaced the old ideas of a “nose job” that you probably still have – and changing the shape of your nose is much easier and far less painful than most people think.

As one of the the Detroit area’s top rhinoplasty surgeons, Dr. Ali put together a list of  5 common “myths” about today’s more advanced (and much more comfortable!) “nose jobs.”

Nose Job Myth #1. Everyone Will Know You Had Plastic Surgery
FACT: A Good Nose Job is Subtle & Natural

Early nose jobs left people with noses that were unnatural looking and clearly surgically altered. Today’s rhinoplasty techniques are more subtle, refined and artistic – leaving patients with a more attractive version of their existing nose, that is balanced, proportionate to their other facial features, appropriate for their bone structure, and that doesn’t erase their ethnic heritage.

Old rhinoplasty techniques involved removing nasal cartilage. This often lead to an unnatural look, and sometimes structural collapse and even deformities. Modern board certified plastic surgeons, like Dr. Ali, sculpt and reposition the existing cartilage without removing it – ensuring a nose that is both natural looking and structurally sound.

In other words, today’s nose jobs create a more beautiful nose without changing who “you” are. In most cases, people will comment on how great you look – but not even realize that you’ve had your nose done!

Nose Job Myth #2. Most Celebrities Are Born Beautiful
FACT: Many Celebrities Have Had Nose Jobs – Even Though They Deny It!

Models’ and actors’ faces are their bread and butter – but very few of them were born with movie-star facial features. And because these celebrities want us to believe that they were “born beautiful” very few publicly talk about their nose jobs.

But if you look at before and after photos of the world’s biggest stars you will see that many of their noses are straighter, smaller or more refined than when they began their careers. Jennifer Anniston, Tyra Banks, Cameron Diaz, Kaley Cuoco, Jillian Michaels and JLO are all celebrities who ADMIT to having had nose job surgery.

And, if you look at Before & After Photos, Britney Spears, Scarlet Johansen, Blake Lively, Kim Kardashian, Katie Holms, Penelope Cruz, Kylie Jenner, Natalie Portman, and even The Queen Be, Beyoncé appear to have had nose jobs!

The list of celebrity nose jobs is almost endless. But because they are done by skilled plastic surgeons, they simply create a more beautiful version of the nose that looks completely natural – and is not a glaringly “noticeable” nose job.

Nose Job Myth #3. You’ll Look Like You’ve Been in a Prize Fight
FACT: Modern Surgery Techniques Make Recovery Easy

In the early days of rhinoplasty, less sophisticated medical techniques lead to horrifying pictures of nose job patients – immobilized in hospital beds, head wrapped in bandages, eyes swollen shut, and big black eyes. And TV programs and movies still sometimes perpetuate this erroneous stereotype for comedic effect.

The truth is, you will leave our medical facility after your nose job on the same day with only a small nasal cast – usually a lightweight aluminum bridge – to stabilize and protect your nose during the initial recovery phase.

There will be some slight bruising and swelling around the nose – but the majority of our patients do not develop “black eyes” at all. And while everyone heals differently, you will certainly be “presentable” enough to go out in public the very same or next day.

Nose Job Myth #4. Your Nose Will Be Packed Full of Gauze after Rhinoplasty
FACT: Splints Replace Packing in Modern Nose Job Surgery

Some people avoid considering a nose job, because they erroneously fear that their nasal cavities will be pack with miles of gauze, making it uncomfortable to breath. Again, this is a misconception!

In modern rhinoplasty soft silicone splints are typically used to stabilize the internal structures of the nose during the first week of recovery. These splints actually help facilitate open airways and better breathing while you heal.

Nose Job Myth #5. Rhinoplasty Is Very Painful
FACT: Nose Jobs Can be Almost Painless

Recovery from any medical procedure is a very personal experience and can differ greatly from person to person. But a nose job is among the least painful surgeries – because it primarily only involves manipulation of the cartilage and does not impact muscles, bones or deeper tissue. Additionally, advanced minimally invasive surgical techniques mean much smaller incisions and much less discomfort – both during and after rhinoplasty surgery.

Use of long-term anesthetic during your nose job procedure means you will not feel a thing. And medication prescribed afterwards will fully manage any pain or discomfort after the surgery.

Depending upon how extensive the procedure, some patients even report experiencing little or no pain following surgery. And all of our patients unanimously agree that any short term discomfort was well worth having a beautiful nose on their face for the rest of their lives.

Top Nose Job (Rhinoplasty) Surgeon | Detroit Area

If you are hesitant about considering a nose job, your concerns are likely based on myths and misconceptions about rhinoplasty that arose from procedures performed back in the 1950s. Today’s rhinoplasties are very routine, yielding exceptional outcomes with very little downtime or discomfort. And the results last a lifetime.

So there’s no reason to wait to get the nose you’ve always! If you live in the Detroit area, call all top rated, board certified plastic surgeon Dr. Ali for a consultation today.

Top Detroit Nose Job Surgeon:  248-335-2700

What to Expect with Nostril Reduction Surgery: Before, During & After

Alarplasty is the medical term for nostril reduction surgery. It’s a specific type of rhinoplasty (nose job) that narrows the width of the nostrils. Nostril reduction surgery, also known as “alar base reduction surgery”, is a surgical operation that subtly alters the base of the nose, typically making it less wide or broad, while still retaining a natural appearance.

Nostril reduction surgery is a highly effective procedure for people who want to reduce the appearance of nasal “flaring”, or who desire to make their nose or nostrils look more symmetrical.

Nostril reduction surgery is also a procedure that can enhance the appearance of a person’s nostrils by ensuring that they are proportionate to the rest of the nose, and the other facial features. Even when the nose is the right size for the rest of the face, enlarged nostrils can make an otherwise “perfect” nose seem larger altogether.

Dr. Ali has restored hundreds of patients’ confidence in their appearance with nostril reduction surgery, by balancing the nose and nostrils with the rest of the face.

In this article Troy, MI area board certified plastic surgeon Dr. Ali explains what to expect before, during and after nostril reduction surgery.

Before Nostril Reduction Surgery: Making the Decision

If a person’s nose is “flared” – or their nostrils seem open and conspicuous – they may consider nose reduction surgery.

The fleshy sections of the nose that bind your nostrils to the face itself are known as “alar”. Alar can vary greatly from person to person – and be thicker or thinner, longer, or shorter, wider or narrower. Certain ethnicities are more prone to wider alar, such as individuals of African heritage.

Nostril reduction surgery removes a very small amount of the alar – changing the width of the nose – without compromising a person’s identity or racial identity. Even minute changes to the alar can cause dramatic improvement in the appearance of the nose.

Good candidates for nostril reduction surgery include:

• patients who do not smoke and who are in good health,
• patients who have completely recovered from previous surgical operations (if any) in the nose region,
• patients with reasonable expectations regarding the ways in which a surgical operation can alter their appearance!

The best way to find out how nostril reduction surgery may be able to help you obtain your desired appearance goals is to schedule a consultation with Dr. Ali. He is one of Michigan’s first and only plastic surgeons to offer cutting-edge Vectra 3D imaging for the face.

Revolutionary Vectra 3D imaging creates a three-dimensional computerized view of the patient’s nose from every angle, allowing Dr. Ali to show you your choices and projected results prior to your nostril reduction surgery procedure.

During Nostril Reduction Surgery: The Procedure

Nostril reduction surgery is actually a type of rhinoplasty – but it is a less invasive procedure than a full “nose job”.

Prior to surgery, the patient will need to create arrangements for someone to take them to and from the doctor’s office or hospital. This is particularly important for anyone receiving general anesthesia.

In most cases “local” anesthetic is all that is needed. General anesthesia (being put to sleep) is not usually necessary during nostril reduction surgery. However, if the nostril reduction surgery is being combined with a conventional rhinoplasty (full nose job) the patient will typically be “put under”.

A marker will be used to draw lines on the nose, showing the exact location of the incisions. After the “alar” is subtly reduced, sutures (stitches) will be used to stabilize the new outline of the alar (base of the nose). A bandage will be applied afterwards, and patients will be given medication for pain relief – as well as instructions for post-opt care and recovery, including how to avoid infection at the surgical site.

After Nostril Reduction Surgery: Recovery

When compared to other facial treatments, the recovery period for nostril reduction surgery is quite short. Initially, the nose will be red and swollen, but this will most likely subside after 1 to 2 weeks. The stitches are usually removed one week after surgery at a follow up appointment. Most patients recover fully within 1-2 weeks. And usually there is only mild swelling lasting no more than a month.

Dr. Ali will discuss what precautions each patient should take after nostril reduction surgery, to help ensure that the healing process moves as rapidly as possible. Most importantly, patients need to prevent injury to the nose during the recovery period. So, strenuous activities, exercise, and most athletic activities need to be avoided until the nose heals fully in place.

Nostril Reduction Surgery | Troy, MI Area

Nostril reduction surgery can enhance your natural beauty by reducing the size of the nostrils, while ensuring that you still look like you!

Contact Dr. Ali in the Troy, MI area for a consultation and Vectra 3D imaging, to determine if this nostril reduction surgery is right for your appearance goals.

Revision Rhinoplasty Surgery: Fixing a Bad Nose Job –

Successful rhinoplasty involves both art and science to achieve a nasal shape that is beautiful, natural and structurally sound for the rest of your life. Unfortunately, many women and men have experienced unsatisfactory and extremely disappointing results from inexperienced or unskilled surgeons.

And in 2021, many people are now forced to confront their own appearance concerns, thanks to the pervasiveness of Zoom appearances – for work, school, connecting with loved ones, socializing and even masking romantic connections. It’s simply hard to ignore a nose you are unhappy with, when the camera is on you all the time. For this reason, we are seeing an increase in requests for revision of rhinoplasties that were previously performed by less skilled doctors.

The great news is that – like any medical technology – advancements have been made over the last several decades in rhinoplasty that replace older procedures with newer and better techniques!

In cases where you are unhappy with a nose job you previously had performed, revision rhinoplasty surgery by a talented, experienced and caring plastic surgeon like Dr. Ali can correct some or all of the damage done by the original rhinoplasty. Dr. Ali uses state of the art techniques – and years of experience – to perform revision rhinoplasty that can correct problems with old “nose jobs” and deliver more beautiful and natural results.

Reasons for Bad Nose Jobs

An unfavorable cosmetic outcome of a nose job can be due to a wide range of causes, but poor technical execution by the surgeon is often to blame. Unfortunately, in the early years of “nose jobs”, the only way surgeons knew how to alter the shape of the nasal tip was the aggressive removal of cartilage. This type of “excisional rhinoplasty” often resulted in the nose becoming progressively deformed over time – because the supporting cartilage had been removed.

And, sadly, many incompetent surgeons still “go to far” with nose jobs – resulting in a very unnatural “plastic-surgery” look, as well as structural defects that cause malformation over time.

Additionally, in previous decades of nose job surgery, many surgeons tried to achieve a single type of “ideal” nose shape for all patients – shortened and turned up on the end. While this nose shape may look proportionate or “cute” on certain women, it does not take into consideration the ethnic heritage of the patient. A “Caucasian nose” may not only look out-of-place on an Asian or African American individual, but can also erase a person’s important ethnic identity.

Michael Jackson’s aggressive rhinoplasty surgery is a classic example of a nose job that “went to far” causing structural problems, as well as compromising his racial identity.

In other cases, a “bad nose job” may be the result of a medical issue, such as infection, scar formation, skin contracture or tightening that pulled on the tip, or even warping of the cartilage that changed the shape. And even a “good” nose job can go “bad if the nose is subsequently injured by an accident, a fall, a blow, or during athletic activities.

Choosing the Right Revision Rhinoplasty Surgeon

The good news is that, whatever the cause, when a rhinoplasty “goes bad” revision rhinoplasty by a skilled plastic surgeon like Dr. Ali can help restore your appearance and correct structural defects. Dr. Ali is trained in the most advanced “endoscopic” techniques – meaning he can perform many rhinoplasty revisions with minimally invasive techniques that involve tiny incisions and almost no scarring.

And, Dr. Ali is also skilled in using certain injectable fillers to adjust and correct proportions and symmetry – in some cases revising the nasal profile, without surgery altogether! Dr. Ali also understands the unique nasal characteristics of different ethnicities – and he has the skill and experience to enhance your beauty, while retaining a natural appearance that doesn’t change “who you are”!

3D Vectra Nose Job Imaging

Dr. Ali is one of only a few plastic surgeons in the entire Birmingham and greater Detroit area to offer state-of-the-art Vectra 3D facial imaging technology. Using digital imaging Dr. Ali can show you what your nose will look like after your nose job or revision rhinoplasty surgery. This enables patients to visualize their expected results – so they can decide if, when and how they would like to proceed with surgery or other revision procedures.

Risks of Revision Rhinoplasty

In general, a first time or “primary” rhinoplasty is extremely routine and exceedingly safe – and serious complications are quite rare and can be treated effectively.

However, a secondary or revision rhinoplasty is always associated with higher risks, because the nasal tissues have previously been affected by prior surgery. In addition to pre-existing inflammation from prior surgery, there is typically also increased subcutaneous scarring, diminished blood supply and reduced skin elasticity. And, in the case of excisional rhinoplasty there may also be damaged or missing cartilage and other skeletal elements.

That is why it is extremely important to choose a highly skilled, experienced board certified plastic surgeon like Dr. Ali for revision rhinoplasty surgery.

Board Certified Revision Rhinoplasty Surgeon

As with anything else, it is always easier to do something right the first time, rather than try to fix something that was done poorly and improperly. In some cases, an existing nose job’s deformities are so severe as to require multiple surgeries to normalize the nose. In other cases a misshapen nose cannot always be completely reconstructed into a “perfect nose” – but substantial improvement is almost always an option in the hands of a skilled, Board Certified plastic surgeon like Dr. Ali.

But in the vast majority of cases, Dr. Ali can reconstruct your nose into a shape, proportions and symmetry that complements your facial features, and leaves you satisfied with your appearance. And Vectra 3D imaging technology in our Birmingham office takes the “guess work” out of knowing what your results will be!

Birmingham’s Best Revision Nose Job Surgeon

If you are suffering from an unsuccessful or “botched” nose job, call Birmingham Board Certified Plastic surgeon Dr. Ali for a evaluation and consultation.  He will help you set realistic expectations, and explain your surgical options for correcting your previous nose job – ensuring that you achieve the best possible rhinoplasty results in your situation.

Revision Rhinoplasty Consultation | Birmingham: 248-335-7200