The term ethnic rhinoplasty is one that I approach with some reticence. While it is a commonly used term in the medical literature and frequently brought up by patients, I feel it can sometimes oversimplify a nuanced and complex process
At its core, ethnic rhinoplasty refers to the refinement of nasal features while preserving a patient’s natural racial or cultural identity. This is, without doubt, a valuable and respectful goal. However, in 2025, the world is more interconnected and diverse than ever before, particularly in a city like London, where I have the privilege of working. My patients represent an incredibly wide range of backgrounds and ethnicities, offering me the unique opportunity to perform surgery on individuals from every corner of the globe.
While much of the discussion surrounding ethnic rhinoplasty emphasises the preservation of cultural and ethnic heritage, I would argue that we should go even further; rather than categorising patients into “ethnic” and “non-ethnic” groups, I believe that every patient deserves an individualised, tailored approach. The goal should not simply be to preserve or enhance a feature based on its cultural significance but to thoroughly understand the patient’s personal desires, facial anatomy, and aesthetic goals through a comprehensive and open discussion.
For some patients, achieving a natural and harmonious appearance might involve subtle refinements—slight adjustments to the nasal bridge, tip, or profile that complement their existing facial features. Others may seek more pronounced changes, whether to address functional concerns, improve symmetry, or achieve a sense of balance and proportionality that better reflects their own aesthetic aspirations.
Ethnic Rhinoplasty and Anatomical Variations
It is also important to recognise the diverse anatomical variations that exist among different ethnic groups. For example:
• Patients of African descent may often seek refinement of a broader nasal base or adjustments to achieve greater definition of the nasal tip, but care must be taken to avoid over-reduction that detracts from their natural beauty.
• Patients of East Asian descent may request augmentation of the nasal bridge or improved definition of the tip, but it is crucial to avoid creating a result that appears artificial or discordant with their overall facial structure.
• Middle Eastern and Mediterranean patients may request a reduction in a dorsal hump while retaining the strength and character of their profile. Indeed, I have published a book chapter (pages 211-220) on the South Mediterranean nose here.
These are just a few examples of the complexities involved in this type of surgery. Each patient’s anatomy, heritage and aesthetic vision are unique, and a thoughtful, personalised approach is paramount.
Ensuring Natural & Customised Ethnic Rhinoplasty
Ultimately, in my practice, I strive to move beyond generic terms and categories. My focus is always on delivering natural, customised outcomes that enhance a patient’s overall facial harmony while respecting their individuality. Ethnic rhinoplasty, like any form of cosmetic surgery, should not be about fitting into a predefined category but about helping each person feel confident and aligned with their own sense of identity.
For me, the measure of success lies in achieving results that feel both transformational and authentic—where a patient feels like the best version of themselves while retaining the essence of who they are.
