Special considerations need to be taken into account when performing rhinoplasty in the non-Caucasian nose. Considerations can include poor tip definition, a short columella, a low radix, a broad base, and a wide dorsum. These differences help to evaluate and devise a treatment plan for non-Caucasian patients requesting rhinoplasty.

Currently, there are many materials available for use in augmentation rhinoplasty. These include autografts, typically conchal, septal, or costal cartilage; allografts, such as irradiated cartilage; and alloplastic materials. We present our experience with the long-term use of irradiated rib cartilage in 12 non-Caucasian patients. Specifically, it has been used in augmentation rhinoplasty for dorsal onlay grafts, tip grafts, and columellar struts with few complications. Irradiated rib cartilage can be used for reconstructive and augmentation rhinoplasty in even the most difficult of casses.

The non-Caucasian, or ethnic, nose is the perfect opportunity to use such an available resource. It is in these cases that cartilage demands may be greatest, requiring more total volume to achieve the desired shape and contour. The material can be used safely, with stable results, saving operative time, and avoiding donor-site morbidity.