The Changing Face of America.

The US population increases yearly and by 2050, experts predict the US population will be greater than 430 million. As the population has grown, it has diversified and includes the largest percentage of multiethnic Americans to date. Accessibility and popularity of aesthetic surgery also have increased. Approaches to rhinoplasty have evolved from a concept of cultural and ethnic transformation to concepts of ethnic preservation, with the goal of preserving features while harmonizing the nose with the rest of the face. To achieve this goal thoughtful consultation and consideration of the patient's self-defined ethnicity is paramount.