Considerations in Ethnic Rhinoplasty

ABSTRACT

Although it is difficult to define specific ethnic groups as they are multiracial mixtures determined by historical, geographical, and cultural factors, we can define basically five non-Caucasian groups that commonly request rhinoplasty. The specific anatomy, surgical options, implant material, grafts, and possible complications are discussed. The importance of blending the "new" nose with the ethnic features to achieve harmony in the facial aesthetic components is emphasized.

Ethnic nose - rhinoplasty - non-Caucasian - augmentation - tip support - think skin - silicone - Medpor^(r) - autogenous cartilage - keloid

REFERENCES

• 1 Hoefflin S M. Ethnic Rhinoplasty: Blacks, Asian and Hispanics.  New York: Springer-Verlag 1997
• 2 Powell N, Humphreys B. Proportions of the Aesthetic Face.  New York: Thieme-Stratton 1984
• 3 Matory Jr W E. Definitions of beauty in the ethnic patient. In: Matory WE Jr, ed. Ethnic Considerations in Facial Aesthetic Surgery Philadelphia: Lippincott-Raven 1997: 61-83
• 4 McCurdy. The Asian nose: augmentation rhinoplasty with L-shaped silicone implants.  Fac Plast Surg Monographs . 2002;  18 245-252
• 5 Romo III T, Shapiro A L. Aesthetic reconstruction of the platyrrhine nose.  Arch Otolaryngol Head Neck Surg . 1992;  118 837-841
• 6 Ortiz Monasterio F, Olmedo A. Rhinoplasty of the mestizo nose.  Clin Plast Surg . 1977;  4 89-102
• 7 Bizrah M B. Rhinoplasty for Middle Eastern patients.  Fac Plas Surg Clin North Am . 2002;  10 381-396
• 8 Nolst Trenité  G J. Preoperative management. In: Nolst Trenité GJ, ed. Rhinoplasty, a Practical Guide to Functional and Aesthetic Surgery of the Nose The Hague: Kugler 1998: 19-27
• 9 Nolst Trenité  G J. Aesthetics. In: Nolst Trenité GJ, ed. Rhinoplasty, a Practical Guide to Functional and Aesthetic Surgery of the Nose The Hague: Kugler 1998: 13-19
• 10 Tardy M E. Rhinoplasty.  The Art and the Science. Vol II. Philadelphia: W.B. Saunders 1997
• 11 Romo III T, Sclafani A P, Sabini P. Use of porous high-density polyethylene in revision rhinoplasty and in the platyrrhine nose.  Aesth Plast Surg . 1998;  40 214-218
• 12 Murakami G S, Cook T A, Guida R A. Nasal reconstruction with articulated irradiated rib cartilage.  Arch Otolaryngol Head Neck Surg . 1991;  117 327-330
• 13 Nolst Trenité  G J. Postoperative care and complications. In: Nolst Trenité GJ, ed. Rhinoplasty, a Practical Guide to Functional and Aesthetic Surgery of the Nose The Hague: Kugler 1998: 31-41
• 14 Matory Jr W E. Abnormal scarring. In: Matory WE Jr, ed. Ethnic Considerations in Facial Aesthetic Surgery Philadelphia: Lippincott-Raven 1997: 173-178