What characteristics do you evaluate when reviewing the nose from bottom view?

Question

What characteristics do you evaluate when reviewing the nose from bottom view? What are the 'ideal' values for these characteristics for an aesthetically pleasing nose.

David M. Kowalczyk, MD, MBA, FACS · Answer

Good Afternoon! The base or "worm's" view is often underappreciated in rhinoplasty. I have photos taken of the base view at rest and with inspiration. Breathing difficulties such as inspiratory collapse may cause the shape to change after rhinoplasty if not addressed. The edges of the nostrils should be roughly between the inner canthi of the eyes. Additionally, the nasal shape should be somewhat triangular with a gentle flow from the tip to the ala with no pinching. The nostrils should be symmetric. The tip to columella ratio should be 1:2 in most cases. Hope that helps!

Robert Ciardullo, MD · Answer

What aspects of the nose are assessed from the basal view? The basil view shows the width of the tip, the width of the alar base, the projection of the nose, and the relationship between the width of the tip and the alar base. The width of the tip is typically changed during most rhinoplasties in some cases the projection is changed and in some cases the width of the nostril base is changed keeping a pyramidal relationship between the base of the nostrils and the tip. The projection of the nose is aesthetically ideal when it is in relationship to the length of the nose by an appropriate proportion. The same is true of the width of the tip and the width of the nostril base.

What characteristics do you evaluate when reviewing the nose from bottom view?

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What characteristics do you evaluate when reviewing the nose from bottom view?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.