Nose Reshaping for the Hispanic Patient: New Approaches

NEW YORK, NY (April 29, 2002) — Nose reshaping (rhinoplasty) is one of the most technically difficult cosmetic operations, and achieving satisfactory results for Hispanic patients often is particularly challenging, says plastic surgeon Rollin Daniel, MD, of Newport Beach, CA. Dr. Daniel presents techniques for effectively treating Hispanic patients seeking rhinoplasty in a presentation at the Annual Meeting of the American Society for Aesthetic Plastic Surgery (ASAPS), April 27-May 3, in Las Vegas.

"In terms of nasal structure, there is enormous anatomical diversity among the Hispanic population," says Dr. Daniel. "In the past, many surgeons may have failed to recognize that there are three distinct types of nasal deformities typical of the Hispanic patient seeking cosmetic surgery. Each of these requires an entirely different surgical approach in order to achieve satisfactory results."

The nose can be divided into several general anatomical areas including the radix (where the nose meets the forehead), dorsum (bridge), base and tip. In Dr. Daniel's analysis of Hispanic patients undergoing rhinoplasty in his practice, he found that the most common anatomical problems, occurring in 48 percent of cases, were a low radix and a "dependent" tip that hung over the upper lip. However, 32 percent of Hispanic patients had a high radix, high dorsum and normal tip, while the remaining 20 percent had a broad nasal base, thick skin and a wide tip. "This range of characteristics is unique to the Hispanic population, and is much more diverse than what is found among Asian or African-American patients seeking rhinoplasty," says Dr. Daniel.

Considerable skill on the part of the plastic surgeon is always required, but Dr. Daniel says that the results of Hispanic rhinoplasty can be vastly improved by using his three-type classification system and the corresponding surgical technique recommended for each specific type. "Using this approach, surgeons will find that the Hispanic nose is less problematic than they may have imagined," says Dr. Daniel. "Many surgeons have assumed that thick skin, which always presents a challenge in rhinoplasty, is characteristic of most Hispanic noses. My case studies show that thick skin was a concern in only 16 percent of cases, and a limiting factor in only one patient."

"It's important, when treating patients of any ethnic group, to keep in mind that cosmetic surgery is not designed to erase a person's ethnic identity," says Renato Saltz, MD, public education chair of the American Society for Aesthetic Plastic Surgery, whose plastic surgery practice in Salt Lake City, UT, is comprised of about 25 percent Hispanic patients. "The plastic surgeon has to develop an understanding of what the ethnic patient considers attractive, according to the patient's own personal and cultural ideals, and then adapt the surgical technique to meet those requirements."

A wide variety of surgical techniques are necessary in treating the Hispanic nose compared to a more limited range of techniques used in treating other ethnic noses, says Dr. Daniel. However, when proper analysis, operative planning and selection of techniques is conducted, rhinoplasty can achieve excellent results for Hispanic patients seeking a more harmonious balance among their facial features.

Dr. Daniel's presentation is on Thursday, May 2, 10:00 am PDT.

ROLLIN DANIEL, MD, and RENATO SALTZ, MD, are available for interviews.


The American Society for Aesthetic Plastic Surgery (ASAPS), is recognized as the world's leading organization devoted entirely to aesthetic plastic surgery and cosmetic medicine of the face and body. ASAPS is comprised of over 2,600 Plastic Surgeons; Active Members are certified by the American Board of Plastic Surgery (USA) or by the Royal College of Physicians and Surgeons of Canada and have extensive training in the complete spectrum of surgical and nonsurgical aesthetic procedures. International Active Members are certified by equivalent boards of their respective countries. All members worldwide adhere to a strict Code of Ethics and must meet stringent membership requirements.


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