In general, my Hispanic patients tend to have thicker,...
In general, my Hispanic patients tend to have thicker, oilier skin. Also, their noses tend to be flatter and broader.
If the bridge of the nose needs building up, then grafting material (cartilage, bone, silicone, medpore) is used. Tip grafts are usually necessary to provide tip definition. Finally, the base of the nostrils is often narrowed to balance off the other features of the nose.
With all this said, it is important to refine the nose without losing one's ethnicity.