There is a new trend among nonwhite Americans to find plastic surgeons who can improve the way they look without changing their ethnic identity. Patient wanted rhinoplasty, but did not want to look white. The increase in the number of nonwhite Americans having plastic surgery challenges plastic surgeons, who have to learn new techniques, styles and procedures for treating Hispanics, African Americans,and Asians.
Hispanic Nose Characteristics
- Thick and Abundant Sebaceous Glands Skin
- Low to Normal Radix
- Wide Nasal Bridge
- Dorsum of the nose is Convex or Nasal Hump
- The tip of the nose is Under-Projected, Bulbous, Occasionally Derotated to Normal, Thick-Skinned, Abundant Nasal Soft Tissue, Minimal Definition, and Broad Wide Domes
- Short to Normal Columella
- The Base of the nose isThick, Wide, Horizontal, and Flaring Nostrils
- Nasolabial Junction of the nose is Retracted & Acute Nasolabial Angle (less than 90 degrees)
- Maxilla is Within Normal Limits
Because of an increase in Hispanic people who seek for nose surgery, an analysis of twenty-five Hispanic nose surgery was created. After a review of the Hispanic rhinoplasty data and before and after pictures, a classification was improved which based on the deformity rather than the past which used geographical origins. Each type of classification has its own procedure.
First Type involves a high radix and dorsum, and a nearly regular tip and is often called a Castilian nose. To peform this treatment, the patient has to have a minor tip changes, and closed functional reduction nose surgery, with dorsal reduction.
Second Type is a new classification which has a regular dorsum, low radix, and a dependent tip. Treatment consists of minimal dorsal changes, a finesse nose surgery with a radix graft, open tip suturing, and use of a columellar strut for support.
The Last Type involves a thick skin, broad base, and a wide tip, with the mestizo nose. For the treatment, the Hispanic rhinoplasty patients has to perform an open tip graft and a balanced rhinoplasty.
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