How do you make a nose more defined? Does it have anything to do with the septum?
How is the Front of a Nose Made More Defined?
Doctor Answers 4
I believe that your question regarding the "front of the nose" probably refers to the appearance of the nasal tip. Generally, the aesthetics of the nasal tip are related to the character and strength of a a pair of gull winged cartilages (the lower lateral cartilages), and how they relate to the caudal septum and upper lateral cartilages. The thickness and quality of the nasal skin also play a role in nasal tip definition. All of these structures have a rather complex interplay, so it is important to understand that Rhinoplasty is an intricate procedure. Failure to understand this has lead to "cookie cutter" procedures and, unfortunately, many odd looking noses. See an experienced Rhinoplasty Surgeon if you are considering this procedure.
Definition of the Nose
In general the concept of a “refined” nose refers to a well defined tip and bridge, which involves the sculpting and other surgical techniques of the nasal tip cartilages and the bones of the bridge. Definition of the nose should not be achieved by the septum for the most part, except for along the profile.
How refining the nasal tip is accomplished
I will assume that you are asking about how a nasal tip is refined. The shape of the nasal tip depends on the underlying cartilaginous skeleton and the overlying skin. The cartilage is usually altered to improve nasal tip definition by using one or multiple techniques that involve removing cartilage, stitching cartilage in a certain shape, or adding cartilage in certain areas. If the nasal skin is thick, the cartilage shaping must be more exaggerated in order to see their effects. In some cases the nasal skin can be thinned, but should be done cautiously.
The septum does not typically impact cartilage definition directly, but it may be involved as it can be a source of cartilage graft, or a point of fixation for stitches or grafts. Certain areas of septum removal may also impact the definition just above the tip.
Lawrence Tong MD FACS FRCSC
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Creating Nasal Tip Definition Starts with Good Exam
There is no single technique to make a tip more defined. Every nose represents a different challenge. While this seems obvious, ignoring this maxim is probably the primary reason for poor surgical outcomes. A good surgeon takes time to complete a thorough history and exam. You should be confident that your surgeon understands what is causing the deformity and how to correct it. Don't be afraid to ask questions such as: 'What is causing my nose to look like this and what can be done to fix it?' If the answer doesn't make sense to you, consider another opinion.