Ethnic Rhinoplasty

ethnic rhinoplasty before-after


Ethnic Rhinoplasty is the term used for non-Caucasian rhinoplasty. Dr Siegel recommends familiarizing yourself with the rhinoplasty section as well, since many of the basic principles apply to ethnic rhinoplasty.

Ethnic rhinoplasty is designed to achieve an optimal aesthetic outcome for patients of Asian, African American, and Hispanic descent—while retaining your natural ethnic appearance.

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How is Ethnic Rhinoplasty Different from Regular Rhinoplasty?

Non-Caucasian noses, seen commonly in Asian, African American, and Hispanic patients among other populations, have several common traits.  The nose is covered with thicker skin, bones are usually shorter and smaller, cartilage is not as abundant as it is in Caucasian noses, and the nasal width (Alar Base) is broad.

Traditional rhinoplasty is a reductive surgery. A common trait such as a large hump requires reduction of the nose bridge to make the nose smaller. Ethnic rhinoplasty, due to its anatomical features, is a process of building up, or addition rhinoplasty surgery. This requires the surgeon to have a completely different set of skills to change the appearance of an ethnic nose.

Dr. Siegel is one of the best ethnic rhinoplasty surgeons in Houston, because of his ability to achieve balance. Sufficient change needs to be achieved; yet excessive changes should be avoided to preserve the patient’s unique ethnicity.

Ethnic rhinoplasty, like traditional rhinoplasty, requires an experienced and skilled surgeon with a keen sense of aesthetics to achieve an optimal result.

This surgery requires precise work for carving cartilage to “create” the anatomical components that will create the visual changes commonly seen in this type of patient.

Each nose is unique, and each patient will have individual features that may need to be altered. It is impossible to capture all of the possible anatomic variations and techniques within ethnic rhinoplasty. But the most common traits include the following:

The Ethnic Nose Bridge

It usually is flat, giving the appearance of a broad and wide nose. The addition of a graft (Dr. Siegel prefers cartilage) , is used to create a taller nose bridge and give the illusion that the nose has been made narrower.

The Ethnic Nose Tip

Narrowing or trimming of the tip cartilages, as done in Caucasian rhinoplasty, will only result in less tip definition in the ethnic patient. The triad of thin cartilage composing the tip, a short caudal septum, and thick skin create no underlying tip support. Since thick skin is the only feature in rhinoplasty that cannot be modified, creating a new underlying tip support, with the addition of various grafts, will allow the skin to re-drape to a new shape. This, coupled with increasing the projection and possibly rotation of the nose, will result in a nasal tip that appears narrower and more defined.

Alar Base, or Nose Width

Traditionally, ethnic noses tend to be wide. Reduction of the width can be achieved by removing external tissue from the various parts of the nostrils contributing to this feature. There are many techniques to achieve this, yet the experience and precise skill of Dr. Siegel allows for incision placement to be seamless. Please view the before and after photo gallery of ethnic rhinoplasty. Place special attention on the bottom, or base view, to see how proper incision placement can result in “scar less” results.


Many Ethnic patients, especially African American patients, are prone to developing keloids. However, there are certain areas of the body, the nose being one of them, where keloids have not been reported. Genetically this part of the body does not over-produce collagen, thus no keloids are formed.

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