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Hispanic or Latino Rhinoplasty in NYC

"Hispanic" or “Latino” often refers to people with Spanish, Portuguese, South and Central American heritage, as well as some Caribbean countries such as Puerto Rico, Cuba, Costa Rica and The Dominican Republic.

There are three categories that are used to differentiate between Hispanic noses:

  • Mestizo nose: a mix of European and native Indian-American elements. This nose is usually broad based, with a wider tip and has quite a thick skin. This is the most difficult nose from all three types of noses in terms of improving its appearance by surgery. The surgeon has to graft the patient’s dorsum of the nose, then extend the tip graft and revise the nose tip.
  • Castillian nose: a Spanish nose (originally from Spain, as well as some Caucasian noses) has a high bridge and normal tip projecting. This type of nose is often corrected by performing dorsal reduction and tip revision.
  • Mexican-American nose: a mixture of the Mestizo nose and Castilian nose. This type of nose usually has a low radix (root of the nose) with a normal bridge and drooping tip definition. This type of nose surgery requires grafting of the radix or the dorsum and a tip revision with a columellar graft.

Spanish Nose Job Surgery

From these three categories, the Mestizo nose and the Mexican-American nose require a highly skilled surgeon to perform surgery on them. Dr. Sam Rizk, a double board certified facial plastic surgeon from New York who performed many nose surgeries on Hispanic and Latin American patients, does not believe in the "one nose fits all" idea. Instead, he believes in revealing every person’s uniqueness which should be manifested while performing a rhinoplasty surgery, adjusting the tools and techniques used to each individual to achieve an overall harmonious look.

NOTE: ALL THE IMAGES USED ON THIS PAGE ARE ACTUAL PATIENTS THAT DR. RIZK PERFORMED RHINOPLASTY ON WITH APPROVED CONSENT.

What are ethnic features of a Latino nose?

Latino/ Hispanic noses have a significant amount of interethnic variability and surgical approaches need to be customized to create a natural nose that is in harmony with the individual Latino face. However, in general, the Latino nose is wider than the white nose but narrower than the African nose. Latino noses also have thicker skin, a more bulbous tip and wider nostrils than a white nose. The Latino noses tend to have weak soft cartilages in the nasal tip and a tip droop. These features necessitate the cartilage graft use in Latino tips to achieve superior levels of refinement and support. These drooping and ill-defined tips require strong cartilage grafts to define and lift them. Dr. Sam Rizk has pioneered new methods to sculpt nasal cartilage grafts and implants using powered smoothing technology to achieve much smoother edges than with the regular surgical knife.

 

 
     
 

What are the intraethnic variability amongst latino/hispanic noses and how are they categorized?

The intrarethnic variability is seen in Latinos based on region. Caribbean latinos have a higher mixing rate with back Africans and their noses are similar to black noses. In contrast, the low rate of interracial mixing of Latinos with blacks in Central and South America results in noses with more white features. Also the Central American nose, though more closely related to the white than black nose, is somewhat midway between Caribbean and South American nasal features.

What do Latino/Hispanic patients usually request in rhinoplasty?

According to Dr. Sam Rizk who has a large portion of Hispanic patients, Latinos who desire rhinoplasty generally request a narrower nose with a more refined tip and narrower nostrils. Dr Rizk individualizes the surgery to the patient's face and uses 3d high definition telescope technology during the rhinoplasty to achieve a more precise result with a rapid recovery (see Telemundo segment). The new nose must fit into a more rounded face and cheeks as compared to white patients. The nose must also be in harmony with larger facial features. Placing a white nose on a Latino/Hispanic face would look unnatural. The inherently different facial architecture of latinos necessitates a more refined nose for their particular face rather than the white ideal. Latino noses can be westerinized in a natural way while not losing ethnic identity.

What is the general recovery time after a rhinoplasty?

Most patients take 1 week off from work, at which point most patients look presentable enough to return to work. The healing process continues and swelling diminishes for up to a year after the rhinoplasty. In Latinos, the thicker skin takes a little longer than white thin skin to show definition in the nasal tip. Sometimes, kenalog or corticosteroid injections in the nose after the surgery can diminish the swelling more rapidly.

When can a patient exercise after the surgery?

Mild to moderate exercise may be resumed 2-3 weeks after the rhinoplasty, Contact sports cannot be resumed for 6 weeks after the surgery.

What approach does Dr Rizk use with Latinos - open or closed rhinoplasty?

Dr Rizk sometimes will use the endonasal (closed) rhinoplasty if mostly bridge work is needed or tip work without extensive grafting. Sometimes the open approach is utilized if extensive tip work and grafting is being done and sometimes a combination of the 2 approaches is utilized-so called-open/closed endoscopic approach.

For more questions/answers please see the FAQ section of this website.




  • Case 1 - rhinoplasty - Before and After - front view
    Case 1 - rhinoplasty - Before and After - side view

    A 32 year old female patient is shown here before surgery and then six months post operation. She had rhinoplasty done to remove the dorsal hump on her nose as well as shrink her nose’s tip.

  • Case 2 - rhinoplasty - Before and After - front view
    Case 2 - rhinoplasty - Before and After - side view
    Case 2 - 3 years After rhinoplasty

    A Hispanic female had poor nasal tip support and thick skin on her nose. Dr. Rizk undertook a 3D endonasal rhinoplasty to fix the problem and reduce her nostril size. She is pictured here three years after surgery.

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  • Case 3 - rhinoplasty - Before and After

    Our 33 year old Hispanic male patient visited Dr. Sam Rizk for a rhinoplasty procedure to correct the length of his nose and reduce his nasal bump. Photos show him 1 year after his surgery.

  • Case 4 - rhinoplasty - Before and After - front view

    36 year old hispanic female who requested mainly a frontal change in width and size of her nose and nostrils. Patient is shown after open rhinoplasty with alar (nostril reduction). Patient is not fully healed yet, swelling continues to diminish for up to a year after the surgery.

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  • Case 5 - rhinoplasty - Before and After - front view
    Case 5 - rhinoplasty - Before and After - side view

    22 year old latino/hispanic female who is shown before and after procedure with multiple tip grafting and nostril (alae) reduction. This nose has very thick skin and very weak tip support and cartilages. To achieve this result, it was necessary to use 3D rhinoplasty with multiple cartilage grafts sculpted and smoothed with a specialized patented method by Dr. Rizk. Cartilage grafts were obtained from the septum inside the nose. Dr. Rizk’s methods for cartilage sculpting achieves a smooth instead of a pointy contour.

  • Case 6 - rhinoplasty - Before and After - front view
    Case 6 - rhinoplasty - Before and After - side view

    35 yo female South American/Latino patient who underwent revision rhinoplasty to straighten the nose as well as remove the bump (actually we call this a pollybeak because it is mostly cartilage). The bony bump was overresected and the cartilage bump was underresected. Patient is shown at 1.5 years postoperatively.

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  • Case 7 - rhinoplasty - Before and After - front view
    Case 7 - rhinoplasty - Before and After - side view

    27 year old Hispanic female who had surgery to define nasal tip and remove her hump shown 5 years after endonasal (closed) rhinoplasty. Patient had an endonasal graft placement to define and support her nasal tip as well as defatting the thick tip skin.

  • Case 8 - rhinoplasty - Before and After - front view
    Case 8 - rhinoplasty - Before and After - side view

    22 yo female from Dominican Republic who would like more refinement in her tip and nasal bridge. Patient has thick skin and is shown after 3D rhinoplasty with smooth tip grafts and nostril reduction. Notice also improvement in profile (more feminine).

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  • Case 9 - rhinoplasty - Before and After

    Patient is 33 yo Latino male who wanted better balance between his nose and chin and underwent rhinoplasty to remove the nasal bump and chin implant, neck liposuction, and necklift to define and project his chin more. Dr. Rizk does a special muscle tuck under the chin with 3d telescopes to achieve a better result than with just liposuction. This neck procedure is done only from a small incision under the chin and does not involve incisions around the ears.

  • Case 10 - rhinoplasty - Before and After - front view
    Case 10 - rhinoplasty - Before and After - side view

    22year old Hispanic female shown 3 months after procedure with alar base reduction. Notice the nasal bump has been removed and the tip lifted and refined and nostrils reduced. This is an example of an ethnic rhinoplasty with thick skin. The skin was defatted and sculpted internally in 3d. Additionally, the patient's own septum cartilage was used to build and define her tip.

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  • Case 11 - rhinoplasty - Before and After - front view
    Case 11 - rhinoplasty - Before and After - side view

    Patient is a 34 year old latino/hispanic woman who was interested in improving the deviation/crookedness in her nose as well as refining her nasal tip. Patient also wanted a more feminine profile. Dr. Sam Rizk has specialized techniques for ethnic rhinoplasty to achieve a natural and defined nose. This patient underwent open rhinoplasty with grafts placed in her mid-nasal vault to make her nose appear straighter and grafts in the tip to define and support/lift the tip slightly and make the nose appear more feminine.

  • Case 12 - rhinoplasty - Before and After - front view
    Case 12 - rhinoplasty - Before and After - side view

    25 year old Indian/middle eastern patient with typical ethnic rhinoplasty characteristics of thick tip skin, wide nostrils, drooping nasal tip and weak tip support. Patient also has frontal asymmetry of the nose. Patient underwent septorhinoplasty and nostril reduction. Cartilage grafts were placed in the patient's tip from her own nasal septum to support and define her tip. The nostril reduction was performed from an incision on the inside rather than the outside of the nostril. The right nostril was much larger than left nostril before rhinoplasty. The bump was removed conservatively. Ethnic rhinoplasty patients do not like major nasal rotation up or a very low nasal bridge. Results are shown postoperatively at 1 year.

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  • Case 13 - rhinoplasty - Before and After - front view
    Case 13 - rhinoplasty - Before and After - side view

    29 yo female ethnic rhinoplasty patient with thick skin who had previous rhinoplasty who requests improvement in symmetry, breathing and definition. Patient underwent revision rhinoplasty with multiple cartilage grafts into tip and middle nasal vault to correct her breathing and cosmetic appearance. Patient is shown one year after revision surgical procedure.

  • Case 14 - rhinoplasty - Before and After - front view
    Case 14 - rhinoplasty - Before and After - side view

    29 year old female interested in plastic procedure to reduce bump mainly but also refine tip. Patient underwent rhinoplasty from the open approach to reduce bridge and resculpt the tip cartilages. A slight tip rotation was performed as well. The open rhinoplasty approach was chosen since patient had thick skin and no tip support requiring grafting. Grafts are fixed in position better with open rhinoplasty. Patient is shown 1 year after surgery.

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  • Case 15 - rhinoplasty - Before and After - front view
    Case 15 - rhinoplasty - Before and After - side view

    30 yo Hispanic/Dominican female interested in rhinoplasty. Patient is shown 4 months after rhinoplasty to remove her bump, narrow her nose and nostrils and also correct her saddle nose deformity above her tip. Ethnic rhinoplasty entails structural grafts in the tip to achieve structural support and definition. Old techniques of Excision of cartilage alone does not achieve a natural outcome. Notice patient's nose was not rotated because patient is tall and this nose fits her face and body better. Also she is still swollen and the nose will become more refined with time.

  • Case 16 - rhinoplasty - Before and After - front view
    Case 16 - rhinoplasty - Before and After - side view

    25 yo female wishes to improve drooping nasal tip, bump and bulbous nasal tip. Patient underwent open rhinoplasty with tip support with her own septum cartilage to achieve a better long term result of tip support. Tip was also refined with cartilage reduction and suture techniques, and bump was removed naturally. Patient is shown 1 year after surgical procedure.

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  • Case 16 - rhinoplasty - Before and After - front view
    Case 16 - rhinoplasty - Before and After - side view

    21 yo Mexican American female with dorsal bump and bulbous tip. Patient underwent open rhinoplasty for bump removal and conservative tip refinement. Patient is shown 1 year post rhinoplasty. Patient has thick tip skin and this is considered an ethnic rhinoplasty.