Nasal Dynamics

Rhinoplasty (nose surgery) is one of the most challenging surgeries that plastic surgeons perform because of the countless, intricate interplays in nasal surgery.  With a strong understanding of nasal anatomy and relationships of the nose with the face, we can obtain the most predictable, beautiful outcomes. 

When it comes to Rhinoplasty, we discuss balance, position and size of the nose based on landmarks.  The blog photo is the profile view of the nose with anatomic landmarks identified, specifically the radix and the dorsum.  To begin, on profile (side) view, the deepest point of the nose where the top of the nose connects to the forehead, is called the radix.  In Rhinoplasty, we can augment the radix by either making it deeper or building it up.  Augmentation of the radix, or building it up, tends to make the nose look longer while deepening the radix tends to make the nose look shorter.  The other consequence of building up the radix area is potentially making the eyes look closer together.  This can be beneficial in patients who have slightly wider set eyes.  Next identify the nasal dorsum on the picture also known as the bridge of the nose.  Patients may have a bump or hump on the nose from trauma or it may be a trait that runs in the family.  Taking down a hump on the nose can give the illusion of a shorter and wider nose and building up the bridge with a graft or implant can make the nose look longer and narrower. 

If you have concerns about your nose and are thinking about Rhinoplasty, it is important to see a surgeon who understands the nuances and delicate balance of Rhinoplasty.  Call us today for a Rhinoplasty consultation!  

Kaete Archer, MD Facial Plastic Surgeon

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