Profile versus Frontal Rhinoplasty

If you are unhappy with the shape or size of your nose, you may wish to undergo cosmetic surgery to improve its appearance. If so, your starting place will be a consultation visit with one of our expert surgeons at Jefferson Plastic Surgery.

This consultation visit is particularly important, as it will allow you to explain to your surgeon your expectations from a rhinoplasty procedure, as well as find out how your surgeon intends to help you reach your goals.

During your consultation, your surgeon will perform a nasal analysis to precisely determine the structural issues that need to be addressed. Part of the reason for this is an issue that is obvious in profile must be addressed differently from one that is more noticeable from a frontal view. What are some of the common issues that are seen in each facial view, and how can they be addressed?

Nasal Symmetry

Before discussing various rhinoplasty techniques to improve the shape and size of the nose from the profile and frontal views, it is important to understand the concept of nasal symmetry, or what would be considered the ideal nose. This may help you understand how these various techniques can get you the nose that you want.

Nasal length: In order to determine the proper nasal length, use three, imaginary equidistant lines across the face. Ideally, the length of the nose should completely fill the middle third of the face.

Nasal width: For the nasal width, the face is divided into five vertical sections. The nose should fall within the middle vertical section.

Nasal dimensionality: Dimensionality is how much your nose projects out from your face. An ideal nasal length should be at a 120- to 130-degree angle for men and at a 115- to 125-degree angle for women.

Improvement in Frontal View of Nose

Narrowing the bridge of the nose, known as a nasal osteotomy, is one of the most common procedures to improve its appearance from a frontal view. It actually involves cutting into the bones that form the upper part of the nasal bridge. Your surgeon will then be able to pull the remaining nasal bones closer together to narrow the bridge.

Conversely, you may have an overly narrow nasal valve, which is located along either side of the middle third of the nose. From a frontal view, it will look as though the nose is pinched inward at that point. This can actually interfere with your breathing. To address this, your surgeon will place a spreader graft, usually made of cartilage, inside the nasal valve to widen it. This will correct both the pinched appearance and allow for more air to flow through the nasal passages.

Improvement in Profile View of Nose

An overprojected nasal tip is one of the more common profile issues that our surgeons see. In essence, the end of the nose projects too far out from the face. Our surgeons will remove cartilage from the nasal tip, as well as shorten the nose itself to bring the nasal tip in closer to the face.

The nose is the most unique feature on the face because of its dimensionality. This means that our surgeons must consider not just its length and width, but also its projection. Our surgeons are well-versed in a wide variety of techniques to tackle issues to address issues with the nose in all of these dimensions.

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Jefferson Plastic Surgery is located on the corner of 9th and Walnut streets in Center City, Philadelphia on the 15th floor of the Wills Eye Hospital Building.

Jefferson Plastic Surgery
840 Walnut Street - 15th Floor
Philadelphia, Pennsylvania 19107
Phone: (215) 625-6630
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