Structural Rhinoplasty in Latin American Patients

Abstract

Patients coming from Latin America are also known as mestizos or Hispanics. They are a combination of different ethnic groups where predominant facial features will vary depending on where the patient is coming from. A structural approach to the nose will be presented showing how techniques using sutures and grafts are used to reinforce and reconstruct existing structures achieving cosmetic long-term results. The surgical goal is to achieve a more defined looking nose that does not look overdone, is attractive, and retains ethnic characteristics.

Keywords

Latin - mestizo - ethnic - rhinoplasty - structural support - bulbous tips - suturing techniques - structural grafts

• References

• 1 Ospina W. América Mestiza: El País del Futuro. Bogotá, Colombia: Villegas Editores; 2000: 23-38
• 2 Cobo R. Mestizo rhinoplasty. Facial Plast Surg 2003; 19: 257-268
• 3 Farkas L. Anthropometry of the Head and Face. 2nd ed. New York, NY: Raven Press; 1994: 286-301
• 4 Cobo R. Facial aesthetic surgery with emphasis on rhinoplasty in the Hispanic patient. Curr Opin Otolaryngol Head Neck Surg 2008; 16: 369-375
• 5 Cobo R. Hispanic/Mestizo rhinoplasty. Facial Plast Surg Clin North Am 2010; 18 (1) 173-188
• 6 Cobo R. Facial aesthetic surgery with emphasis on rhinoplasty in the Hispanic patient. Curr Opin Otolaryngol Head Neck Surg 2008; 16 (4) 369-375
• 7 Kim DW, Hwang HS. Traumatic rhinoplasty in the non-Caucasian nose. Facial Plast Surg Clin North Am 2010; 18: 141-151
• 8 Toriumi D, Johnson C. Open rhinoplasty—featured technical points and long-term follow-up. Facial Plast Surg Clin North Am 1993; (1) 1-22
• 9 Becker DG, Pastorek NJ. The radix graft in cosmetic rhinoplasty. Arch Facial Plast Surg 2001; 3: 115-119
• 10 Romo III T, Abraham MT. The ethnic nose. Facial Plast Surg 2003; 19: 269-278
• 11 Godin MS, Waldman SR, Johnson Jr CM. Nasal augmentation using Gore-Tex. A 10-year experience. Arch Facial Plast Surg 1999; 1: 118-121 , discussion 122
• 12 Anderson JR. The dynamics of rhinoplasty. In: Proceedings of the Ninth International Congress of Otolaryngology. Exerpta Medica International Congress Series, No. 206. Amsterdam, The Netherlands: Exerpta Medica; 1969: 708-710
• 13 Johnson CM, To WC. The tripod-pedestal concept. In: A Case Approach to Open Structure Rhinoplasty. 1st ed. Philadelphia, PA: Elsevier Saunders; 2005: 9-20
• 14 Toriumi DM. New concepts in nasal tip contouring. Arch Facial Plast Surg 2006; 8: 156-185
• 15 Cobo R. Nuances with the mestizo tip. Facial Plast Surg 2012; 28: 202-212
• 16 Cobo R. Rhinoplasty in the Latino Nose. Rhinoplasty Archive. 2011. Available at: http://www.rhinoplastyarchive.com/articles/rhinoplasty-latino-nose . Accessed May 9, 2013
• 17 Perkins S, Patel A. Endonasal suture techniques in tip rhinoplasty. Facial Plast Surg Clin North Am 2009; 17: 41-54
• 18 Konior RJ, Kridel R. Controlled nasal tip positioning via the open rhinoplasty approach. Facial Plast Surg Clin North Am 1993; (1) 53-62