Nasal Aesthetics Services New Jersey

As mentioned, the nose is the central part of facial aesthetics. One should not look only at the nose itself in an isolated view, but also how it relates to all other facial features and proportions. Even someone’s height should be considered during rhinoplasty.

When we discuss overall facial aesthetics, the gold standard is to divide the face into 3 equal sections horizontally, and 5 equal sections vertically. For ideal aesthetics, the features in each of theses sections should line up proportionally to each other. The nose is in the central section both vertically and horizontally, thus it is a critical part and can have a major effect on one’s entire facial appearance. This is also one reason why the same nose can look great on one individual, and not another. Thus it is not so much a matter of creating an ideal nose, rather, it is about creating the right nose for each individual.

Multiple studies have been done over the decades to determine “ideal” nasal aesthetics. The results are a set of ranges for size proportions and angles that help us identify pleasing nasal characteristics. The key is that these are ranges. As rhinoplasty surgeons, we generally operate within or close to those ranges to achieve a result that will be both aesthetically pleasing and consistent with our patients’ desires.

When we evaluate nasal aesthetics, we look at these many different features from several different view points, then determine how they relate to each other 3-dimensionally. We then try to determine what aspects, or combination of aspects of the cartilages, bones, and nasal skin make up those particular features, and how we can alter them. There is a lot of medical and artistic consideration that goes into a rhinoplasty, but the good news is that you personally do not have to worry about these decisions, as they are concerns for your rhinoplasty surgeon. However, I find that patients are better able to explain their concerns and desires to the surgeon when they are aware of this process.

This leads into the next point and perhaps the one at the very center of the rhinoplasty consultation; communication between the surgeon and the patient is CRITICAL. Most patient seeking a rhinoplasty already know at least some of the nasal features that they would like altered, and the type of nose they desire. The goal is for the surgeon to clearly understand their patients’ goals, as every patient has their own desires. Some patients want a perfect “cookie cutter nose”, some want only specific aspects changed, and others want only certain aspects altered in minor ways. So again, clear communication between the surgeon and patient is highly important. I find that computer morphing software has been of great value in this area. It allows the surgeon to show patients the possible outcomes visually, and for patients to relay their desires back to the surgeon.

Some patients do not know exactly what they want changed, but know that they are not happy with the appearance of their nose. That is ok. Rhinoplasty surgeons can help guide patients based on the previously mentioned ideals to help them realize their concerns and find an outcome that will make them happy. HOWEVER, a good rhinoplasty surgeon will also give patients realistic expectations, and advise them when rhinoplasty may not be the right option. A notable situation of when rhinoplasty is not the right choice is someone who does not know what they want, and not sure what final nasal appearance will make them happy. In these cases, it may not be the nasal appearance that is responsible for the desire for surgery.