Hispanic Rhinoplasty

  • Ali Sajjadian


Hispanics are projected to become the largest minority population in the United States within the next 10 years. And their gradual upward socioeconomic movement now allows them to seek elective plastic surgery. As such, rhinoplasty in this population will become more frequent over time. Hispanic noses generally differ from Western noses in terms of skin thickness, projection, tip definition, and dorsal prominence. However, applying a Western standard of beauty (although historically universally desired) may not produce results that are harmonious with other ethnic facial features. Additionally, Hispanic patients today do not usually want an extreme departure from their original ethnicity, nor do they want to violate their cultural norms—they want an ethnically appropriate, attractive, and natural-appearing nose.

Various studies have confirmed the observation that the “typical” Hispanic nose has a tip which projects to a lesser extent, that the base is wider than the Western nose, and that the alae depend on lateral view. A practical classification system based on type of deformity, rather than on geographic origins (as was previously used), has been developed. Classifying the Hispanic nose according to type can be beneficial to the surgeon for analyzing and formulating a systematic treatment plan. This chapter details the general types of Hispanic noses and the recommended operative techniques for each. It also covers the surgical goals and challenges as well as the cultural and communication issues that the surgeon must be aware of. At the end, the author offers some Hispanic rhinoplasty case studies from his practice.


Hispanic Patient Racial Mixture Plastic Surgery Procedure Augmentation Rhinoplasty Dorsal Hump 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


  1. 1.
    Sajjadian A, Guyuron B (2010) Primary rhinoplasty. Aesthet Surg J 30(4):527–539PubMedCrossRefGoogle Scholar
  2. 2.
    Patel AD, Kridel RW (2010) Hispanic-American rhinoplasty. Facial Plast Surg 26(2):142–153PubMedCrossRefGoogle Scholar
  3. 3.
    Cobo R (2003) Mestizo rhinoplasty. Facial Plast Surg 19(3):257–268PubMedCrossRefGoogle Scholar
  4. 4.
    Ortiz-Monasterio F, Olmedo A (1977) Rhinoplasty on the mestizo nose. Clin Plast Surg 4(1):89–102PubMedGoogle Scholar
  5. 5.
    Higuera S, Hatef DA, Stal S (2009) Rhinoplasty in the Hispanic patient. Semin Plast Surg 23(3):207–214PubMedCrossRefGoogle Scholar
  6. 6.
    Daniel RK (2003) Hispanic rhinoplasty in the united states, with emphasis on the Mexican American nose. Plast Reconstr Surg 112(1):244–256; discussion 257–258PubMedCrossRefGoogle Scholar
  7. 7.
    Davis RE (2006) Rhinoplasty and concepts of facial beauty. Facial Plast Surg 22(3):198–203PubMedCrossRefGoogle Scholar
  8. 8.
    Leach J (2002) Aesthetics and the Hispanic rhinoplasty. Laryngoscope 112(11):1903–1916PubMedCrossRefGoogle Scholar
  9. 9.
    Aston S (2009) Aesthetic plastic surgery. Saunders/Elsevier, PhiladelphiaGoogle Scholar
  10. 10.
    Sturm-O’Brien AK, Brissett AEA, Brissett AE (2010) Ethnic trends in facial plastic surgery. Facial Plast Surg 26(2):69–74PubMedCrossRefGoogle Scholar
  11. 11.
    Daniel RK (2009) Mastering rhinoplasty. Springer, New YorkGoogle Scholar
  12. 12.
    Guyuron B, Behmand RA (2003) Nasal tip sutures part II: the interplays. Plast Reconstr Surg 112(4):1130–1145; discussion 1146–1149PubMedCrossRefGoogle Scholar
  13. 13.
    Sajjadian A, Guyuron B (2009) An algorithm for treatment of the drooping nose. Aesthet Surg J 29(3):199–206PubMedCrossRefGoogle Scholar
  14. 14.
    Pearlman SJ (2006) Surgical treatment of the nasolabial angle in balanced rhinoplasty. Facial Plast Surg 22(1):28–35PubMedCrossRefGoogle Scholar
  15. 15.
    Sajjadian A, Rubinstein R, Naghshineh N (2010) Current status of grafts and implants in rhinoplasty: part I. Autologous grafts. Plast Reconstr Surg 125(2): 40e–49ePubMedCrossRefGoogle Scholar
  16. 16.
    Sajjadian A, Naghshineh N, Rubinstein R (2010) Current status of grafts and implants in rhinoplasty: part II. Homologous grafts and allogenic implants. Plast Reconstr Surg 125(3):99e–109ePubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  1. 1.Private practiceNewport BeachUSA

Personalised recommendations