A Custom Nose

Written by Escobar MD     

An important aspect to obtain good results in a rhinoplasty is a good facial analysis. For this, it is important to take photos of the patient in frontal, base and profile projection. Analyzing the photographic images, and logically observing the patient live, we will be able to study the shape of the nose in detail and its relation to the other elements of the face.

FRONTAL ANALISIS We will do this observation from the frontal vision, mainly to asses if the nose has a well-proportioned length to the face, if the width of the nose is adequate according to the distance between the eyes and the width of the mouth. And, of course, to assess if the nose is aligned with the facial axis; this axis divides the face into two theoretically equal halves. If the nose does not coincide with this axis it can be deviated, and therefore we must plan a surgical technique to solve it.

PROFILE ANALYSIS Next, in the profile view, we will study the position and size of the nasal tip, if there is a hump or not, and a detail that the patient often does not keep in mind: the relationship between the nose and the chin.

In both visions (frontal and profile) we will take measurements of each element to be able to determine the dimensions of the ideal nose type for the patient with a special data processing program, and to be able to quantify the changes to be performed during the rhinoplasty to the nearest millimeter.

During the surgery we will maintain the surgical plan and the measurements taken on the patient visible; this information will serve us as a map that will safely guide us towards good results. This way, if we stick to the plan, we will not have any surprises and the results will be clearly better than without any type of planning.  Using this work method we will be able to adapt the changes to the patient and not the other way around, obtaining foreseeable and natural results in time.

All in all, keep in mind that it is basic to plan every millimeter of the changes that we perform during the rhinoplasty. This is the best security system to obtain good results.