Download PDF
Facial Plast Surg
DOI: 10.1055/a-2597-6541
Original Article

Hybrid Rhinoplasty in Mixed Race Patients: A Mix and Match Philosophy

Roxana Cobo 
1   Department of Otolaryngology, Clinica Imbanaco, Cali, Colombia
,
Christie Mendoza 
2   Department of Facial Plastic Surgery, The Face and Nose Institute, Bogota, Colombia
,
Jorge Espinosa 
3   Private Practice, Facial Plastic Surgery, INO Clinic, Bogota, Colombia
,
Nicolás Heredia 
4   Private Practice, Facial Plastic Surgery, The Body Institute, Bogota, Cundinamarca, Colombia
,
Juan Ochoa 
2   Department of Facial Plastic Surgery, The Face and Nose Institute, Bogota, Colombia
,
Fabián Henao
2   Department of Facial Plastic Surgery, The Face and Nose Institute, Bogota, Colombia
› Author Affiliations
› Further Information
Also available at
   Permissions and Reprints

Abstract

Aim and Background

Rhinoplasty remains a leading facial plastic procedure globally. The term “ethnic patients” has been replaced by “mixed race patients” reflecting today's interracial mixing, globalization, and massive migrations.

Historical Aspects

“Hybrid rhinoplasty” combines two different philosophies: dorsal preservation and structural techniques to achieve optimal surgical results. Selection is dependent on anatomical findings for each patient.

Patient Selection

Mixed-race primary rhinoplasty patients with V- or S-shaped humps measuring less than 3 mm were included. Patients with important dorsal abnormalities humps greater than 3 mm, or platyrrhine noses were excluded.

Techniques

The different surface dorsal preservation and structural nasal tip procedures are explained in detail. A selection criteria for the dorsal surface techniques is presented.

Postoperative Care

A total of 143 patients between January 2020 and February 2024, who had at least 1 year of follow-up were included. 85.2% were female and 17.48% were male. Surface preservation techniques comprised 56.6% cartilage modification techniques and 43.3% cartilaginous push-down techniques. Structural techniques were used for all nasal tips. The complication rate was very low, with no documented revisions.

Conclusion and Clinical Relevance

A hybrid mix-and-match philosophy has extended the application and utility of these concepts, improved outcomes, and minimized re-interventions and complications.

Keywords

hybrid rhinoplasty - dorsal preservation - mixed race patients - surface dorsal techniques - structure approach


Publication History

Accepted Manuscript online:
30 April 2025

Article published online:
22 May 2025

© 2025. Thieme. All rights reserved.

Thieme Medical Publishers, Inc.
333 Seventh Avenue, 18th Floor, New York, NY 10001, USA