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.
Pearlman SJ (2006) Surgical treatment of the nasolabial angle in balanced rhinoplasty. Facial Plast Surg 22(1):28–35PubMedCrossRefGoogle Scholar
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
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