Rhinoplasty requires not just surgical skills but also understanding of facial proportions. Preoperatively, patients frequently ask how narrow should my bones or tip be or how much will my tip be lifted.
The following are general observations of facial-nasal relationship found in models.
1. The width of the nostrils is about the width of the vertical lines drawn from the inner corners of the eyes
2. Nasal bony base width is narrower than the alar (nostril) base width
3. Tip width slightly wider than the width of the filtrum (cental portion of the upper lip)
4. Position of the tip slightly higher than base of the nostrils
The front view of the patient below shows how nose surgery can improve facial-nasal harmony. This patient underwent closed rhinoplasty.
Many patients, however, may have specific preferences as to how they would like their noses reshaped. A detailed discussion between the patient and nose surgeon considering the patient’s goals and reshaping suggestions from the surgeon typically results a well thought out plan and best chances for a successful outcome.
To view more before and after photos of Dr. Vladimir Grigoryants patients, visit our photo gallery