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Because I'm in LA, there's a large Middle Eastern population. There's a largest Hispanic population, black, white and people from all over the world who come to visit and there are different aesthetic norms. For instance, I've already mentioned that Latinos and South Americans actually like a more stylizer done appearance to their nose so they would have preferred perhaps a more slope of a profile and a little more turned up and a smaller nose in general. The Middle Eastern population has been a very interesting evolution over the years because initially when I started 20 years ago, there was still this idea to assimilate with our culture here and they wanted a small turned up, narrow nose that had highlights that would be more characteristic, perhaps a little Irish girl and over the years as the world has become more one and that population less feels the need to assimilate, I think that they actually feel more proud of their Middle Eastern heritage and want to maintain that.

So now what I see is perhaps a version man coming in to see me who will say to me, "I don't like this about my nose or the fact that my tips droops but otherwise, I still want it to be a Persian nose so can we just take care of the minimal things, still leave me looking Middle Eastern?" And I think that's a favorable change and again it offers another surgical challenge which I welcome because it makes us better surgeons but that's much more fun to deal with too from an artistic standpoint than it was to make every other nose the same like a cookie.

Ethnic Rhinoplasty Has Come a Long Way in 20 Years — Here's Why

Dr. Andrew Frankel explains how an ethnic rhinoplasty can alter certain aspects of the nose without erasing a person's ethnicity.