Middle Eastern Rhinoplasty

Nose reshaping is a very personable procedure. It requires the highest level of surgical expertise to produce outstanding, natural results that suit the contours of each patient’s face.

Every nose is different. Often, nose reshaping surgeries require subtle changes that make a significant impact to a patient’s aesthetic. That’s why it is essential for a surgeon to understand the anatomical differences across different ethnic groups.

What is Middle Eastern Rhinoplasty?

As with most cosmetic procedures, nose reshaping surgeries are highly customizable and there are various techniques available so that a patient’s specific aims can be achieved in the most effective way. All patients have different physical features due to their genetic makeup and ethnicity. This means that nose reshaping surgeries should be tailored to each patient and their physiological makeup so that their nose is in proportion to their other facial features and maintains their ethnicity.

Middle Eastern rhinoplasty can often be a more complex or difficult procedure as the thickness of many patient’s skin can limit the amount of definition some patients can achieve. Consequently, some patients have poor results from their procedure and require another surgery to correct any aesthetic or even breathing issues from their first procedure. This means it is especially important for patients to undergo surgery with a Board-Certified surgeon who has significant skill and expertise in performing Middle Eastern Rhinoplasty in Boston to help avoid the need for Revision Rhinoplasty.

Middle Eastern Rhinoplasty patients can achieve significant results from their nose reshaping procedure which can hugely increase their confidence. For more information on the benefits of undergoing any nose reshaping procedure, you can view our blog on the surprising benefits of a nose job.

Typical Aims of Middle Eastern Rhinoplasty

Middle Eastern Rhinoplasty patients in Boston will have different aims and concerns, but some of the most commonly requested alterations include:

  • Nasal tip refinement
  • Straighten the nasal bridge
  • Narrow the nose

Middle Eastern Rhinoplasty Techniques

Tip Rhinoplasty

Potential challenges for performing Middle Eastern Rhinoplasty are that many patient’s noses tend to have weak and soft cartilage while the skin is generally quite thick. This often leads to the nasal tip dropping and many Hispanic Rhinoplasty patients, therefore, desire their nasal tip to be lifted and reshaped. The two main techniques used are:

Tip Suturing Techniques

Since many Middle Eastern Rhinoplasty patients have weak cartilage on their nasal tip, this technique is not used as frequently. However, some patients will have strong enough cartilage to be able to undergo this procedure. There are various nasal suturing techniques that can be used but the procedure generally aims to precisely manipulate the nasal tip using sutures.

It is reported that after altering the cartilage with sutures, it can change slightly during the course of the procedure as it takes a while for the manipulated cartilage to settle to its new shape. It is, therefore, important surgeons re-examine and check these areas before closing the incisions. Permanent sutures can be used but are not necessary and can cause additional issues such as stitches protruding through the nasal skin. 

Cartilage grafts

As the nasal tip’s cartilage tends to be quite weak for many Middle Eastern rhinoplasty patients suturing techniques are not always suitable. Some patients will instead require a cartilage graft to be added to provide additional support to the nasal tip. The cartilage graft is generally taken from the patient’s nose or ear and it can be added to the nasal tip before being reshaped to achieve the desired shape of the nose’s tip.

Dorsum Surgery

Middle Eastern Rhinoplasty patients often have a wide nasal dorsum, and so narrowing of the nasal dorsum is a commonly requested procedure. According to NCBI, the nasal dorsum is often reduced by first performing nasal hump reduction. This consists of reshaping or sanding down the cartilage or bone on the nasal bridge to produce a smooth contour. Not all patients will require this aspect of the procedure but it is generally performed alongside dorsum surgery.

The dorsum itself refers to the width of the bone and cartilage running down the nasal bridge and is narrowed using lateral nasal osteotomies. Essentially, a scalpel is used to cut into the cartilage on either side of the nasal bridge to narrow its width to the desired extent. In some cases, the nasal and maxillary bones need to be broken and then reset to achieve a more narrow and desirable appearance.


Many Middle Eastern Rhinoplasty patients in Boston have concerns over their nostrils being too wide. The nose reshaping technique that specifically alters the nostrils is called ‘Alarplasty’. The nostrils or ‘alar’ are made out of soft tissue and so the procedure involves removing some of this tissue to reduce the width of the nostrils. Healthline describes the two main techniques used to narrow the nostrils:

Wedge excisions – this technique removes wedges of the alar, the soft tissue of the nostrils to reduce their width. The weir technique is an extension of this procedure that aligns the excision with the curve of the nostrils which tends to reduce scaring and produces more effective results for many patients.

Nasal sill– this technique creates an incision into the nostrils in varying shapes, including diamonds, to remove alar tissue and reduce the width of the nostrils.

For some patients, these two techniques are combined to achieve significant narrowing of the nostrils. Additionally, many patients undergo alarplasty alongside other nose reshaping procedures as they have concerns regarding additional aspects of their nose. Making adjustments solely to the nostrils can impact the harmony of the nose and so it is important to meet with a Board-Certified Plastic Surgeon to discuss your goals and see whether you would be most suitable for an alarplasty procedure that is performed alongside other nose reshaping techniques.

Recovery From Middle Eastern Rhinoplasty 

Recovery from Middle Eastern Rhinoplasty in Boston generally takes longer than it does for many other nose reshaping patients and there is often a significant amount of swelling.

If a cartilage graft was inserted as part of the procedure after a few weeks it will become a part of your nose. These grafts also have a significantly reduced rate of complications due to the fact the material used for the graft is a natural substance (cartilage) and it is taken from your own body. If other materials were used as a graft, such as silicone, then the recovery period tends to be longer and the likelihood of complications is increased.

A splint may need to be worn for the first week following the procedure and a follow-up appointment with Dr. Markarian will be scheduled to have the splint removed. There is likely to be significant swelling and bruising for a few weeks as the procedure impacts the bone or cartilage of the nose. It can take a few months for the initial side effects to diminish and the full results of the procedure can take up to a year to be completely visible.


Dorsum Surgery Risks:

  • Hemorrhage
  • Aesthetic risks can occur if the bones break in the wrong direction

Alarplasty Risks:

  • Scarring
  • Discharge
  • Infection


If you are interested in having a Middle Eastern Rhinoplasty in Boston, you may wish to undertake your own research on the various nose reshaping options available to you so you are well informed on the surgical process, recovery period, and risks involved.

For information regarding financing a nose reshaping procedure you can view our nose job cost blog. The next step is to meet with a Board-Certified Plastic Surgeon so they can perform an assessment of your nose and help to recommend the most suitable nose reshaping techniques for your personal desires.

Contact Dr. Mark Markarian, a Board-Certified Plastic Surgeon that specializes in rhinoplasty procedures, for a consultation.