I keep hearing how Hispanics tend to have thick skin and that this affects the outcome of rhinoplasty surgery. What other factors are there in Hispanic patients that come into play?

In addition to thick nasal skin, Hispanics tend to have weak, broad nasal tip cartilages, thus making refinement of the nasal tip a challenge. In such instances, I sometimes use nasal septal cartilage to not only add strength and resiliency to the nasal tip cartilages but also provide refinement to the nasal tip.