Dr. Daniel is frequently asked to lecture both nationally and internationally on Ethnic Rhinoplasty due to his expertise in treating Hispanic, Middle Eastern, Asian, and African American patients. This sub-specialization has occurred because of the ethnic diversity of the population of Southern California, especially persian rhinoplasty. In 2003, Dr. Daniel wrote the first article entitled “Hispanic Rhinoplasty in the United States” and followed it up with 3 major articles on “Middle Eastern Rhinoplasty in the United States” and “Indian American Rhinoplasty.” Prior to Dr. Daniel’s break thorough work, most surgeons approached Hispanic Rhinoplasty based on the patient’s nationality rather than their deformity. After reviewing a large number of Hispanic patients, their treatment protocol could be based on the following 4 types: 1) Castilian, 2) Mexican American, 3) Mestizo, and 4) Creole. Patients with a Castilian or Mexican American nose often have a dorsal hump and a wide tip with little definition. It is important to achieve a straight or slightly curved profile with a more refined tip.
Middle Eastern patients must be approached individually and not treated with a “one size fits all” surgical solution. For many years, it was quite common for surgeons to consider Middle Eastern patients as having the same deformity – a big hump, thick skin, and a wide tip without definition. This single minded approach led to a generation of women with pinched upwardly rotated tips and scooped bridges. To avoid these problems, Dr. Daniel did an anatomical study on Middle Eastern noses in the United States which included many Arabic patients from Kuwait to Syria, Lebanon to Egypt. The most striking finding was that the nasal skin was normal or thin in 75% of patients and only thick in 25%. Therefore, surgeons had been doing the wrong operation – removing large amounts of cartilages throughout the nose which led to pinching of the tip and over resected noses. Following these studies, Dr. Daniel devised a wide range of techniques to treat the diversity of deformities and range of aesthetic goals seen in Middle Eastern patients. Most patients can achieve their goals, ranging from a natural improvement to a naturally cute nose.
From treating these various groups of patients, Dr. Daniel has been developed surgical techniques for managing thick skin patients, wide amorphous tips, low dorsal bridges, and wide nostrils. One example of his expertise is seen in treating Asian American patients. Traditionally, silicone implants were used to achieve a higher bridge and a sharper tip. Although effective in many patients, infection and visibility occurred in 10-15% of patients leading to removal of the implant. In 2010, Dr. Daniel published his experience in using the patient’s own tissues to achieve the higher bridge and more refined tip that most Asian patients want. This revolutionary approach has eliminated the use of silicone and other foreign bodies to achieve an aesthetic nose in Asian patients. In addition, these same techniques can be used in many Asian patients with infected implants allowing for immediate reconstruction.
Ultimately, rhinoplasty in Orange County is truly Ethnic Rhinoplasty. The techniques that Dr. Daniel has developed in Newport Beach are now used throughout the world, from Mexico to Singapore, from Tehran to China. Specializing in ethnic rhinoplasty here in Newport Beach has given a diverse background better chances of getting what they want, and being happy with their appearance.