Wednesday, November 6, 2002 - 10:12 AM
527

The Non-Haole Rhinoplasty

S. Larry Schlesinger, MD, Sean M. Maguire, MD, and Robert Heck, MD.

There is beauty in every race and culture on earth and as technology (the internet) makes us one large community, our global village has community standards of beauty. The plastic surgeon is and should be the repository of these standards. We are expected to understand deviations from this standard and be able to modify and/or totally correct these variations. The rhinoplastologist sees the greatest number of variations in the smallest area per centimeter of the body. We in the western world have been taught well to correct variations in the European (Caucasian) nose, being the intellectual descendents of Gaspar Taliacotius and Jacques Joseph, but rarely do we deal with the non-Caucasian nose during our formal training. Variations in the non-Caucasian rhinoplasty and a basic paradigm for the correction of these variations are the subject of this presentation. Included in the surgical algorithm are the treatment of bimaxillary retrusion, lack of dorsal and tip projection, columellar retrusion, wide nasal ala and a broad, flat nasal tip. While treating a large population of mixed ethnicities in the state of Hawaii, the primary author has performed this technique on 50 non-caucasian (non-haole) patients over a two year period.