Southern California is the most ethnically diverse region of the United States. Our population includes many diverse inhabitants hailing originally from all parts of the US. Immigration from Iran, the Arab States, Pakistan, Lebanon, Syria and Armenia is a fairly recent phenomenon. Many whose origin is from the greater Middle East have large bumps or humps. The tips may be wide and too close to the lips. The nose may be too “tall” for the face. Typically, the skin of people from Syria, Lebanon, Jordan and Iran have thinner and lighter skin than those from the Arab countries, e.g. Saudi Arabia, Kuwait. We have to modify our approach to take all features into consideration and deliver results that are natural and which fail to draw attention to themselves.