Ethnic rhinoplasty is a rhinoplasty technique designed to provide natural looking results to patients of African-American, East Asian, Hispanic and Middle Eastern ethnicities. These patients often have nasal structures that are different that Caucasian patients and their unique features have to be taken into account when balancing the facial features. Ethnic rhinoplasty can be perform as open or closed rhinoplasty. Many non-Caucasian patients require cartilage grafting or artificial implants in the bridge of the nose to reinforce the nasal structure and provide more definition. These patients often have nasal tip reshaping to address large or overly bulbous nose tips.