LATIN (LATINA/LATINO)/HISPANIC RHINOPLASTY (Washington DC, Virginia & Chevy Chase Maryland)

Hispanic Rhinoplasty is a very diverse and exciting topic. The Hispanic or Latin culture is very broad and rich, with the common bond of the Spanish language. The people and their anatomy and aesthetic standards are also very diverse with unique features found all over Europe, North, Central and South America. So to group the entire race into one would be a mistake aesthetically and surgically for the skilled Rhinoplasty Surgeon.

A broad variety of hair colors, facial features, body heights, skin colors and thickness and nasal “types” are seen within the Latino or Hispanic race. As in any other form of Rhinoplasty or Ethnic Rhinoplasty, “the nose must fit the face.” That is the predominant aesthetic rule of Rhinoplasty in any race or culture.

Facial analysis to ensure a proper diagnosis of the ideal balance, as well as the cosmetic &/or functional issues needing correction, is crucial to a successful Hispanic Rhinoplasty outcome.

  1. Latina nose job patient of Dr. Naderi, underwent a closed Hispanic Rhinoplasty to unveil the beauty of her eyes.

Here are some facts and pearls about Latino Rhinoplasty:

Many Plastic Surgeons do use silicone, Medpor, Gortex, or other “plastic” implants in the nose as a quick fix. These cases are usually very quick, inexpensive, with immediate results and minimal swelling and down time, often performed under local anesthesia in the office setting. While some patients do achieve great aesthetic results using these techniques, many end up with noses that simply look fake and imbalanced. Others end up with implants that clearly show their edges. Some end up with implants that are mobile and shift. And a portion end up with horrific infections of their implants, resulting in extrusion or significant permanent scarring. Even the patients, who achieve the nice immediate results, are essentially sitting on “ticking time bombs” that could at any time in the future become dislodged, extruded or infected.

I have performed Revision Rhinoplasty on Latino patients who had no idea their previous surgeon had used any form of plastic implants in their nose. Some Plastic Surgeons unfortunately think this is an acceptable surgical option to be used during surgery as a substitute for inadequate pre-op planning.

Many Latino patients have noses and faces that are similar to either Caucasian noses or Mediterranean noses. While there is lots of diversity amongst the Latin or Hispanic race, there are some common anatomic features associated with the noses many consider a “Latina Rhinoplasty patient:”

– Small short nasal bones
– Low “nasal starting point”
– Short nose
– Washed out bridge
– Broad nasal tip (“meaty tip”)
– Very weak tip cartilages
– Wide nostrils
– Ptotic or a “droopy” nasal tip with poor tip support creating the appearance of a short upper lip
– Thick sebaceous skin susceptible to hyper-pigmentation

Not all Hispanic patients’ noses fit the above criteria. Many have Caucasian or Middle Eastern or Mediterranean features and noses. What has always surprised me is the failure of many Plastic Surgeons to step back and diagnose the problem at hand before offering a “Latino Rhinoplasty” solution.

The take home message here is that all patients regardless of their ethnicity need to undergo a thorough examination and facial analysis. Diagnosis is the most important step in the initial consultation process. No surgeon should ever simply categorize an ethnic patient and devise a plan purely based on the category. However, with experience, each Rhinoplasty Surgeon will learn and devise his/her own set of knowledge base to draw from.

For example, while it would be wrong for a surgeon to automatically assume that a Hispanic patient needs or even wants a higher bridge, it would be equally foolish for the Plastic Surgeon to ignore the fact that many Latino patients do have weak tip cartilages, with very heavy thick skin, making the use of additional tip grafts for support often necessary.

Proper pre-op planning in Latino patients does often involve the discussion for possible additional sources of cartilage. Since many have weak tip cartilages, additional cartilage grafts at the tip are often necessary to achieve aesthetic tip definition. This counter intuitive idea of adding more cartilage to make the nose look smaller and more defined and refined needs to be fully explained to all Hispanic patients. Often the Septal Quadrangular cartilage is adequate for Latino rhinoplasty patients but discussions and planning for possible use of ear, rib, or frozen rib cartilage must be thoroughly carried out with each patient pre-op to avoid any intra-op surprises or shortcomings.

Not all Hispanic patients require an Open Rhinoplasty and not all can be successfully carried out with a Closed Rhinoplasty technique. Each patient’s nasal reshaping surgery must be individualized and planned out properly.

  1. Hispanic patient of Dr. Naderi underwent open latina rhinoplasty to elevate a droopy nasal tip and enhance the appearance of her lips and eyes
  1. Use of Computer Imaging is crucial in the pre-op consultation dialogue to ensure that what the Plastic Surgeon plans and what the Latino patient desires are achievable and one and the same.