title: Rhinoplasty in the Mestizo nose.
abstract: Mestizo patients are the largest ethnic minority in the United States; the main facial plastic procedure they request is rhinoplasty. Mestizo noses are a challenge. It is common to find bulbous, undefined nasal tips sitting on a poorly structured osteocartilaginous framework. A structural approach is presented whereby support structures of the nose are strengthened and reinforced with structural grafts. A gradual approach to the nasal tip is presented whereby sutures and grafts are used to improve rotation and projection and create more definition. Cases showing long-term results are presented with discussion of the different surgical techniques used.
authors: Service of Otolaryngology, Centro Médico Imbanaco, Carrera 38A #5A-100 cons 231A, Cali 760044, Colombia. Electronic address: rcobo@imbanaco.com.co.
authors: Roxana
authors: R
authors: Cobo
mesh_terms: D065246:Culturally Competent Care; D005006:Ethnicity; D006801:Humans; D009300:Nasal Septum / Q000033:anatomy & histology / Q000601:surgery; D009666:Nose / Q000033:anatomy & histology*; D010027:Osteotomy; D012225:Rhinoplasty / Q000379:methods*; D013536:Suture Techniques
keywords: Bulbous nasal tip; Hispanic patient; Mesorrhine nose; Mestizo nose; Mestizo rhinoplasty; Thick skin