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Cosmetic rhinoplasty is performed by specialists all over the world; increasingly, people of different ethnic groups want their noses reshaped in one way or another. The term mestizo is defined and its general nasal characteristics and anthropometric measurements are presented. Surgery is planned using the patient's specific facial characteristics, with the goal of achieving harmony and balance while preserving ethnical background and complying as much as possible with the patient's desires. All surgeries are performed using the open-rhinoplasty approach. Mestizo patients usually want noses that look finer and thinner but not necessarily bigger. Different surgical options are presented and overall results evaluated, always trying to maintain ethnicity and harmony unless the patient desires otherwise.