Hispanic-American rhinoplasty.

Hispanic Americans have quickly become a major ethnic group in the United States who are interested in nasal cosmetic surgery. They are derived from a variety of ethnicities with a corresponding diversity in nasal anatomy. Rhinoplasty in Hispanic Americans has evolved from imitating neoclassical canons to preservation of ethnic characteristics. Common problems addressed in this population are narrowing and augmenting the height of the nasal dorsum; increasing projection, rotation, and definition of the nasal tip; and reducing alar flare and base width. Anatomic goals for surgery should satisfy both individual desires and ethnic features that are to be created or to be preserved. Here we describe the techniques used by the senior author (R.W.H.K.).