As demand for rhinoplasty in the Latino community grows, so too does demand for avoiding the imitation of neoclassical ideals and instead preserving desired ethnic characteristics. That’s according to authors of a recent study in the Journal of American Society of Plastic Surgeons.
Study authors Justin L. Perez M.D., Raja Mohan M.D., and Rod J. Rohrich M.D., believe the generalization of an archetypical Latino nose based on geographic location is fundamentally flawed.
In this study, authors examined and compared nasal consultations of 60 Latino patients in a five-year retrospective review. Patients were identified based on surname and documented clinical history.
Investigators reviewed photographs and operative records of patients who underwent primary rhinoplasty and those who did not but had documented nasal photographs. Also documented were specific aesthetic nasal characteristics, individualized surgical techniques and aesthetic results.
Tip projection was assessed by measuring a line from the alar-cheek junction to the nasal tip, and Fitzpatrick skin type, skin thickness, fatty quality of soft-tissue envelope, dorsum/radix position and contour were evaluated.
Investigators documented patients’ nasal characteristics as either frequent (> 50%) or infrequent (< 20%) and found the Latino nose can be characterized by some traits but with notable variability.
“The Latino nose has some characteristic nasal traits, including thick soft-tissue envelope, bulbous and underrotated tips, fatty hanging alae with propensity for anterior notching, weak underlying cartilaginous structures, and a propensity for alar flare worsened by depressor septi hyperatcitivity,” write the authors.
Perez JL, Mohan R, Rohrich RJ. Recognizing Racial Heterogeneity in the Latino Nose: Aesthetic Concepts for an Individualized Approach. Plast Reconstr Surg. 2019;144(4):857-867.