Nose aesthetic analysis
Nose anatomy and aesthetic analysis
The nose and face should be evaluated as a whole. In aesthetic sense, the face should be proportionate to the nose. Normally, the face is divided horizontally with 3 lines in proportion. In this way the face is divided into three equal parts. The distance of the nose tip from the face (nasal type projection) is normally 67% of the nose length. The upper part of the nose is 70-80% of the width at the bottom.
The width of the nasal wings is the width between the two eyes. However, it is seen that the nose wings bend outwards by 2 mm and go out of this line. It can be considered to be minimized when it is above these measurements.
The relationship between nasal wings and kolumella is defined as the gull appearance. When seen from the side, there is a relationship between the nose and forehead. The upper part of the nose is 2 mm behind the line between the nose tip and the forehead in females, whereas it overflows slightly in males.
The angle of the nasal tip is between 95 and 105 in females and 90-95 in males. These measurements may vary slightly from person to person. What is important is that the appearance is compatible with the face. Excessive excesses or deficiencies in these measurements will cause loss of aesthetic appearance.
When viewed from the front, the nose is the thinnest part of the nose. It starts to expand towards the tip of the nose. It can be seen that the nasal skin is not the same thickness in the whole nose. The top of the nose is the thickest part of the nose skin. In the same way the nose is also thick at the top-end. The skin is the thinnest part of the nose in the middle of the bone and cartilage structure is the junction.
Thick and oily skin causes more swelling after surgery. In addition, they cause more connective tissue development, especially in the late nasal areas near the tip of the nose.
Under the skin there is a layer called subcutaneous layer. This layer
it is stated that it is a continuation of the musculoaponeurotic system of the face and neck. This layer is also between the eyebrows like the skin and the tip of the nose is thicker at the top. Under this layer there is fat tissue.This fat tissue is located on the bone and cartilage structure. Large veins and nerves are seen in this layer. There are membranes covering the bone and cartilage below this layer. These membrane structures hold firmly on the bone and cartilage.
Muscle structures in the nose, Proserus, levator labi superior, dilator nares, depressor septi nasi muscles are some of them. These muscles are located between the skin and the cartilage or bone to make different movements to the nose.
The upper part of the nose is the nasal bone and the lower part of the nose forms cartilage structures. The cartilage structures are structures such as upper side cartilages, lower side cartilages, septum cartilage and accessory cartilage. These cartilages can be quite anatomically different in design and give the shape of the nose to these cartilage and bone structures.
Changes in the structure of the nose are seen according to ethnic characteristics. The nose tip is the most prominent point of the nose when viewed from the side. However, the nose tip is less prominent in societies other than white breed noses. On the nose that looks good in aesthetically good, the portion (kolumella) that reaches towards the lip from the nose to the lip shows a slight inclination. When viewed from below, the nostrils may have different shapes. They are classified as cheek type, labial type and tube type.
To do this, the examination is done first and then the photos are taken by taking pictures in the computer. However, the shaping of the nose in the computer is important only in terms of the surgical plan and a general idea. In addition, two-dimensional shaping can be done on the computer
Nasal surgery method
Nose aesthetics is done by open or closed method.
In the open method, there is a surgical incision that can be seen from the outside in the nose lip junction area and the incisions are only in the nose. Open and closed methods have advantages and disadvantages compared to itself.
Advantages of closed method
1- Ideal approach for people without too much deformity
2- There is no indication of surgery from outside
3- There will be less swelling after the operation
4- Improvement results faster
5- Operation time is shorter
- Our preferred method is closed surgery.
Advantages of open method
1- Surgeon performs surgery
2- More intervention options
3- It is easy to control if bleeding
Disadvantages of open method
1-There is a trace of surgery from the outside
2- Operation time is long
3- Swelling especially at the tip of nose continues for a long time
4- Improvement process is longer
5- There may be problems in the incisions
In the open method, an incision is made near the V-shaped nose-lip joint. Other incisions remain in the nose. The incision is called kolumella. Ko