Ethnic Rhinoplasty

Ethnic rhinoplasty is a nose surgery to create an aesthetically pleasing nose shape but retaining distinct characteristics that are unique to each ethnic group

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Back in the 80s and 90s, the mainstream of a rhinoplasty was based on the Caucasian nose shape which was not suitable for other ethnic groups such as Asian, African American, and Middle Eastern. Today’s advanced rhinoplasty approaches to an individual beauty that embraces the heritage and enhances a beauty rather than creating a universal nose design. 

There is a growing desire in recent patients to get a total cosmetic surgery to fit the overall balance and proportion of the face, instead of a simple nose surgery. Ethnic rhinoplasty requires a full understanding of certain ethnic groups and extensive rhinoplasty experiences to adjust the details according to the needs.


Asians have unique nose characteristics such as low, bulbous, and short nose which is challenging for surgeons to ‘build up’ the nose very naturally. VIP Asian rhinoplasty includes not only the nose surgery itself but also focuses on achieving harmonized face with other facial structures. For this harmony rhinoplasty, a retruded mid-face and columella are elevated, the tip of the nose is projected more, and the length of the nose is elongated.

The autologous rib cartilage rather than a small cartilage is the optimal choice for Asian rhinoplasty, as it provides a stability to support the nasal structure and abundant cartilage amount for the design. Therefore, Harmony Rhinoplasty is recommended for Asian Rhinoplasty. Most Asians have a short-depressed nose, short-retruded columella and mid-face retrusion.


Unlike Asians, Caucasians generally have thinner and weaker skin. This means that foreign implants are most likely to be clearly visible if used. For these types, using own natural tissue is the key to the success of the nose surgery. Western people naturally have enough amount of septal cartilage that can be used in rhinoplasty. 

Deviated septal cartilage from trauma or accident can worsen the shape of the nose and the breathing problem. If there is not enough septal cartilage, rib cartilage can be used to reshape the nose. The doctor’s skill and experience in rib cartilage nose surgery are critical because it requires a precise shaping and well-balanced ratio that prevent an asymmetricity and a breathing problem.


Middle Eastern rhinoplasty includes unique ethnic features that require an extensive study of these specific nose characteristics to improve but still reflecting a natural appearance as a Middle Easterner. Many Middle Easterners are stressed due to their deviated septum, which eventually causes a great breathing problem. They also tend to improve their weak tip, droopy, and bumpy nose by a cosmetic rhinoplasty. Therefore, both clinical and aesthetic approaches are significant in Middle Eastern rhinoplasty. The main goals of the rhinoplasty are to create a smooth nose line by improving hump and droopiness. Depending on the patient’s conditions in terms of shape and height of the nose, the doctor will most likely recommend either using a septal cartilage or rib cartilage for the nose surgery.

Middle Easterners usually have enough autologous cartilage, so foreign implants are not commonly used. Many Middle Easterners have a well-developed septal cartilage that can be used to correct the septal deviation and create a harmonized nose.


African American rhinoplasty is an ethnic nose surgery for people who have unique features, such as wide nostrils, fatty tissues and skin, deviated septum, protruded mouth, and weak nose tip. Because they tend to have a low and short nose, septal cartilage is merely harvested to use for the nose surgery. African Americans tend to have similar characteristics as Asians since both ethnic groups require a plastic surgeon to ‘build up’ their nose instead of smoothening out the nose line. 

Most of the time African American rhinoplasty requires a strong material to support thick skin tissues such as rib cartilage that can build the nose structure and elongate the nose length. Removing partial fats or reducing nostrils may be necessary in case of slimming down the wide nose shape. Harmony Rhinoplasty is mostly recommended for African American Rhinoplasty.