Answer: An experienced rhinoplasty surgeon must take a number of factors into consideration. In the African American, the nose may be thicker and the dorsum may be lower and the nasal tip may be broader. Therefore many of the techniques the surgeon uses must keep these factors in mind in order to bring the nose into proper balance. Patient and surgeon must also be aware that an analysis of the nose is important to understand what changes to make to bring the nose into balance with the rest of the face. On the Caucasian nose, the skin may be thinner and this may cause challenges for sculpting tissues so that it does not show through the skin. The surgeon must be very familiar with working with all different skin types and ethnicities in order to have the best chance to obtaining an optimum result for each patient.