Anatomy Of The Nose

BASIC PARTS OF THE NOSE
Since rhinoplasty is a highly finesse procedure, it is important to have a clear idea of what you want to change. Before going for a consultation, look in the mirror and identify what exactly bothers you. Knowing the basic anatomy of the nose will help you be specific in conveying what you want.

The nasal anatomy is the main reason why your nose looks the way it does. With this, it is vital that this anatomy be accurately assessed whether for first time or revision procedures. This accurate assessment entails the cooperation of the patient and experience of a skillful surgeon.

Below is an illustration of the parts of the nose which will help you evaluate your nasal features prior to the examination of the plastic surgeon.

Parts of the Nose
  • Radix
  • Dorsum (commonly called as “bridge”): can be too wide, too big, too small, too narrow or deviated
  • Tip: can be too big, too long, too short, too pointy, pushed up, droopy, deviated, or bulbous
  • Alae: can be too wide, bulbous, nostrils flare up or too big
  • Airway: obstructed; must be examined individually
  • Columella: skin between the nostrils

Most common complaints lie in the four above mentioned parts such as dorsum, tip, alae and airway.

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DORSUM (BRIDGE)
An ideal nasal dorsum forms a soft curvilinear line from the eye brow that harmoniously passes through the radix down to the tip. It appears “out of place” when the dorsum is flat, too wide, or too big.

The Ideal Dorsum
Ideal Dorsum

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NASAL TIP
A large, wide, flat, droopy, short or deviated nasal tip draws unfavorable attention and obstructs the smooth continuity of the dorsum. Any of those mentioned disrupts nasal harmony with the rest of the face. Methods used in correcting these depend on the nature of the problem.

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ALAE
Like, the tip, an alae has to go unnoticed to be considered as attractive. Negative attention is drawn if it is too large or too wide. Below are the three (3) most common complaints with the alae

  • too wide
  • too bulbous
  • nostrils are too big
Ideal Alae
Perfect Alae
An ideal alae should not flare wider than the inner corner of the eye A perfect alae and nasal tip form an elegant equilateral triangle if seen from below

AIRWAY
Some patients undergo rhinoplasty to improve breathing caused by airway obstruction. This is a significant problem that can be relieved. This fall into two (2) categories: one is due to enlarged turbinates; and the other is due to nasal deviation.

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