There is a significant variance in the shape, strength of cartilage structure, thickness and color of skin, width of base of the nose, shape of nostrils and thickness of the wings or ala. This represents the genetic mosaic of our Hispanic population. In some the Indian or Indigenous population genetics is strongly expressed. This translates to flat, plunging tips, wide nostrils, thick alae or wings and sometimes a low ”bump” on the bridge. Other Hispanics appear more European, with thin skin, strong cartilages, narrow high bridges and thin nostril walls. That reflects the Spanish integration into the population beginning in the 15th century.
Hispanic patients are proud of their heritage and are not likely to prefer radical changes that would render the rhinoplasty result inconsistent with their other facial features. They tend to be satisfied with fewer dramatic changes in nose structure and shape.