Are there general things that Hispanic patients want changed about their nose with rhinoplasty?

Some of the more common requests I hear from my Hispanic patients who seek rhinoplasty include a desire to refine the appearance of the nasal tip and narrow the nostrils. The nasal tip refinement in Hispanic patients can be a challenge due to the fact that Hispanics typically have thick nasal skin. This thick nasal skin camouflages the cartilage that forms the shape of the nasal tip. In these situations, I may use several options to achieve refinement of the nasal tip, including suturing techniques and tip grafting techniques. Narrowing the wide nostrils is achieved with nasal base reduction techniques.