If you don’t choose your plastic surgeon carefully, dark skin can mean very noticeable scars after a rhinoplasty. We don’t say this to scare you away from the procedure. With a skilled plastic surgeon, darker-skinned patients can achieve beautiful rhinoplasty results. We want our patients to understand the importance of choosing a skilled and experienced plastic surgeon for their ethnic rhinoplasty procedure. Dark skin can complicate rhinoplasty, but a skilled surgeon knows how to mitigate these complications, achieving stunning rhinoplasty results.

Here are the essential skills dark-skinned patients should look for when choosing a plastic surgeon for their rhinoplasty.


Dark-skinned patients tend to have thicker skin and a greater likelihood of developing raised scars. Dr. Fleming is aware of this risk and uses advanced suturing techniques to minimize the appearance of scarring. He may use small incisions or hidden incisions to eliminate the possibility of ending up with highly visible scars.

Scar Camouflage 

Some scarring is likely after any surgical procedure, no matter your skin tone. A skilled plastic surgeon knows how to place these scars so they are practically imperceptible. In rhinoplasty, incisions may be placed:

  • Inside of the nose
  • Along the columella, the thin strip of tissue that divides the nostrils
  • In the sill where the nostril opening meets the upper lip.

These placement zones minimize visible scarring because your incisions are either completely hidden or camouflaged within natural contours and transitions. 

For ethnic rhinoplasty, Dr. Fleming uses a closed technique whenever possible. In a closed rhinoplasty, all incisions are placed within the nose, leaving no visible scarring.

Cartilage and Tissue Grafting

Much of the nose is compromised of cartilage and in non-Caucasian patients, this cartilage may be weak. Insufficient supportive tissues can make ethnic rhinoplasty more difficult. Dr. Fleming manipulates supportive tissues in ethnic patients very carefully to avoid damaging this sensitive cartilage. He uses tissue and cartilage grafting as needed to ensure obstruction-free breathing and nasal support.

Ethnic Rhinoplasty Training and Experience

Ethnic rhinoplasty offers plastic surgeons unique challenges, but with the proper training and experience, these challenges are easily overcome.

Not only does he address cosmetic issues, but his deep understanding of nasal anatomy also enables him to alleviate breathing obstructions and open the airway for improved nasal function. 

Dr. Fleming has performed countless ethnic rhinoplasty procedures on darker-skinned patients including those with genetic roots from Africa, the Middle East, Asia, and Latin America.


Many surgeons offer rhinoplasty, but not all share the same qualifications. How do you know that your doctor is qualified to perform your surgery? Look for board-certification. To receive this highly sought-after qualification, doctors must demonstrate their training and expertise in a specific medical specialty. Only the best-qualified doctors can achieve this important qualification. 

Dr. Fleming holds board-certification from two medical boards, the American Board of Facial Plastic and Reconstructive Surgery and the American Board of Otolaryngology-Head and Neck Surgery. These qualifications demonstrate his skill and experience in both cosmetic surgery and rhinoplasty. 

Schedule your ethnic rhinoplasty consultation with Dr. Fleming by calling The Beverly Hills Institute of Aesthetic & Reconstructive Surgery at 310-278-8823.