In the U.S. we refer to our citizens and guests whose origin is Central America as “Hispanic.” That territory, genetically and geographically, is huge and Dr. Kotler has performed hundreds of hispanic rhinoplasties. Mexicans are often very different in facial appearance from Colombians who dwell at the top of South America. Again, through genetical evolution and intermarriage, primarily with Europeans, all bets are off in regards to a “typical Hispanic.” Those from Mexico may have some high percentage of native Indian genetics with very dark skin which can pigment easily. And, the Mestizo nose has a flat, plunging tip. So we need to consider cartilage grafting or non-surgical, liquid rhinoplasty to augment the surgical work.
However, the well-trained and savvy surgeon knows what generic expressions to look for. For example, there is a subset of Central Americans who have nearly 100% indigenous lineage. Intermarriage with Spaniards and other Europeans and migrants from even Asia produces interesting nasal and facial structure. Some of the more native Central Americans have very wide bases of the nose, flat and poorly projecting tips, wide nostrils. Peruvians, tend to have very high bridges, and often with a bump.
Once again, the thoughtful surgeon asks questions of ancestry, carefully examines the facial and nasal structure and provides a realistic computer image rendering to demonstrate the achievable result of rhinoplasty or permanent non-surgical rhinoplasty.
Latin rhinoplasty is designated to identify those who may hail from Colombia, Argentina, and Brazil. Large variety of rhinoplasty opportunities there, but there is a huge variation in appearance. Many look very European, particularly the Argentinians, many of whom had/have Italian ancestors. Brazil is a melting pot. All skin tones, nasal and facial structures represented. It too, was settled by Europeans, predominantly those from Portugal. The challenge is unchanged: to customize the nose with the target of improvement and not a great variant that seems inconsistent with one’s ethnicity.