Facial rejuvenation and beautification in all breeds is a true challenge for an artistic surgeon, where the surgeon's art and expertise play a fundamental role in making accurate diagnoses and deciding the appropriate technique and type of surgery for each patient. This is done in such a way that we can rejuvenate and beautify the face in a harmonious way across all three facial thirds, achieving natural results, leaving patients looking younger, more beautiful, with an attractive, relaxed look, and not looking as if they've had surgery. The author presents his 36 years of experience operating on all breeds in Cartagena, Colombia. which is a multiethnic city where whites, Afro-descendants, Indians and different types of mixed races live due to the crossing between the different races and to beautify and rejuvenate faces, the artist surgeon has to perform one or more simultaneous facial plastic surgeries on his patients, such as: Forehead surgery, Blepharoplasty, Direct eyebrow surgery, Rhinoplasty augmentation or reduction as the case may be, Mentoplasty augmentation or reduction, Double chin liposuction with or without Cervicoplasty as the case may be, Cheiloplasty, Otoplasty, Gingival Smile Correction, Bichectomy and Cervicofacial Rhytidoplasty.

Objective:

To demonstrate that patients' faces vary depending on their race. Therefore, the author demonstrates the different surgical techniques used to rejuvenate and beautify the face of multiethnic patients.

Background:

• XXII LATIN AMERICAN CONGRESS OF FACIAL PLASTIC SURGERY AND RHINOLOGY, IN JOINT WITH THE XXI NATIONAL CONGRESS OF FACIAL PLASTIC SURGERY AND RHINOLOGY

Medellín – Colombia, 2025.

• INTERNATIONAL COURSE OF OTORHINOLARYNGOLOGY ACORL 2025

Cartagena de Indias – Colombia, 2025.

• VI INTERNATIONAL COURSE OF THE PAN-AMERICAN ASSOCIATION OF ENT AND HEAD AND NECK SURGERY 79th RIVER PLATTEN ENT CONFERENCE IV JOINT MEETING OF THE AMERICAN ACADEMY OF ENT

Buenos Aires – Argentina, 2023.

• XXXVIII PAN-AMERICAN CONGRESS OF Otorhinolaryngology

Punta Cana - Dominican Republic, 2024.

• EAFPS THE EUROPEAN ACADEMY OF FACIAL PLASTIC SURGERY

Lisbon – Portugal, 2017.

• XIV INTERNATIONAL COURSE

Mexico City – Mexico City, 2018.

• XXXVI PAN AMERICAN CONGRESS OF ENT, HEAD AND NECK SURGERY

Lima – Peru, 2018.

• 5TH CONG OF EUROPEAN ORL-HEAD & NECK SURGERY 2019

Brussels – Belgium, 2019.

• VIII WORLD CONGRESS OF FACIAL PLASTIC SURGERY.

Rio de Janeiro – Brazil, 2016.

Rhinoplasty is considered "The Queen" of Plastic Surgeries, since the Artistic Surgeon has to correct different types of noses that depend on the age, sex and race of the patient; as well as if the patient has a history of previous surgeries and direct trauma to the nose.

In order for a Rhinoplasty to be successful, the Surgeon has to diagnose the previous anatomical details of the nose to be operated, verify the state of the nasal Septum, nasal turbinates, as well as the presence of nasal polyps, Rhinosinusitis and the history of previous nasal surgeries; to successfully perform a functional and aesthetic Rhinoplasty simultaneously.

To obtain successful and predictable results in a Rhinoplasty, it is essential that the Facial Plastic Surgeon and Otolaryngologist, has at least 10 or more years of experience practicing this surgery in different types of noses and knowing multiple surgical techniques to correct the different nasal deformities that are found. The planning and decision of the surgical technique is based on the precise diagnosis of the functional and aesthetic deformities of the nose, that is the art of the Facial Plastic Surgeon, to achieve beautiful and natural results in a Multi-Ethnic Rhinoplasty which is a real challenge for the best Facial Plastic Surgeon.

The author shares his experience of 36 years practicing multi-ethnic Rhinoplasties in the city of Cartagena de Indias - Colombia.

Objective:

To demonstrate that the result of a multiethnic Rhinoplasty depends on the skill of the Facial Plastic Surgeon in accurately diagnosing the deformities of the nose of his patients to decide according to his expertise and experience operating multiethnic noses which is the appropriate technique for each particular case and achieve harmonious and natural aesthetic and functional results suitable for each type of multiethnic nose operated; which many times must be associated to the practice of other facial plastic surgeries that the patient needs (Mentoplasty, Otoplasty, Bichectomy, Cervicoplasty, etc.)

Background:

- XXII LATIN AMERICAN CONGRESS OF FACIAL PLASTIC SURGERY AND RHINOLOGY,

IN CONJUNCTION WITH THE XXI NATIONAL CONGRESS OF FACIAL PLASTIC SURGERY AND

RHINOLOGY

Medellin - Colombia, 2025.

- INTERNATIONAL COURSE OF OTORHINOLARYNGOLOGY ACORL 2025

Cartagena de Indias - Colombia, 2025.

- VI INTERNATIONAL COURSE PAN-AMERICAN ASSOCIATION OF ORL AND HEAD AND NECK SURGERY

79th RIOPLATENSIAN ORL SYMPOSIUM

IV JOINT MEETING OF THE AMERICAN ACADEMY OF ORL

Buenos Aires - Argentina, 2023.

- XXXVIII PAN AMERICAN CONGRESS OF OTORHINOLARYNGOLOGY

Punta Cana - Dominican Republic, 2024.

- EAFPS THE EUROPEAN ACADEMY OF FACIAL PLASTIC SURGERY

Lisbon - Portugal, 2017.

- XIV INTERNATIONAL COURSE

Mexico City - Mexico City, 2018.

- XXXVI PANAMERICAN CONGRESS OF OTORHINOLARYNGOLOGY AND HEAD AND NECK SURGERY.

- Lima - Peru, 2018.

- 5TH CONG OF EUROPEAN ORL-HEAD & NECK SURGERY 2019

Brussels - Belgium, 2019.

- VIII WORLD CONGRESS OF FACIAL PLASTIC SURGERY.

Rio de Janeiro - Brazil, 2016.

ethnic rhinoplasty creates challenges to rhinoplasty surgeons ,in these presentations solutions t o these problems will be discusseed