What Facial Features Can Affect the Appearance of the Nose?
The proportion of a nose to that of the rest of the face, especially when viewed from the side, is closely linked to the proportions of the chin. Often times a weak chin can make a nose appear too large for the face, or vice versa.
Attention to this relationship is very important in the assessment of the nose and surgical planning. There are times that surgery on the chin (Genioplasty) is an essential adjunct to a Rhinoplasty. At this time, the chin can be augmented or brought forward (Advancement Genioplasty), or reduced or pushed backwards (Reduction Genioplasty or setback).
The size, angle, and flow of the upper lip can also affect the appearance of the nose. Those with a very deep space between their upper lip and the nose, often appear to have an excessively hanging or drooping nasal tip. Augmentation of this area can change the angle between the nose and the lip, and thus significantly alter the overall appearance of the nose. On the other hand, those with thin and long upper lips can appear to have a short nose. Correction of this can also affect the appearance of the nose.
The shape of the eyes, especially that of the inner corners of the eyes (medial canthus), can affect the appearance of the nasal bridge, and vice versa. For example, a flat nasal bridge can make the eyes appear to be too far apart, as is true for many Asian patients. The medial canthal folds in Asians can also make the nasal bridge to appear too wide and flat.
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