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I believe what you are referring you is known as the alar base - the total distance from the outer aspect of the nostrils. You are correct in stating that the ideal base width should correlate with the inner aspect of the eyes (medial canthus); however each case is evaluated on an individual basis. Sometimes maneuvers performed during surgery will actually narrow that distance without having to make incisions (known as lateral crural steal). Consult with a Board-Certified plastic surgeon who will be able to make that distinction.
Thank you for your question.Back in the 70's, various studies were done measuring all types of relationships in the human's face called anthropometric measurements. However, this was done mostly on caucasians. The results of those studies were as you indicated in your question: the inter-nostril width should be approximately the same as the inter-canthal (inner eye corner) distance.Now in my practice in Toronto, I use those guidelines with 'moderation'; I ALWAYS account for the ethnicity of my varied patients' practice (Toronto is very multicultural, as you know), their wishes, etc. More importantly, I aim for harmony between the various components of one's face - which I call "artistry".One must also take into considerations that the inter-canthal distance may be shorter or longer than the average person. So yes, there is variation also for the inter-canthal distance. This can also be modified, although it is a much more complex procedure.Hope this helps!Best regards,Dr. Marc DuPere, Toronto Aesthetic Plastic Surgeon
In a very general sense what you say about nostril with is true. Their basic relationships of the face that are considered attractive and can be described numerically. Video imaging would be a good way to see how this translates to your own face. The nostrils can be narrowed independently to give you some idea of this change in your own particular situation.
I agree with the doctor below. Classically, your nostril width should approximate you inner canthi (inner corners of your eyes). However, this can be wider in certain ethnicities.Aaron Kosins, MDPlastic & Rhinoplasty Surgeon
What you are stating about the nostril width being equal to the distance between the corner of the eyes is classic teaching in rhinoplasty. In a world in which people have very different ethnic facial features and sometimes mixtures of different ethnicities, there really isn't one true "ideal." The concept is more to blend your nose to match well with your other facial features.
You are correct in that the classic width or amount of alar flare is considered to be the intercanthal distance. In today's world of diversity and ethnic identity the distance might vary, and computer imaging then becomes more valuable in allowing us to "try out" changes and see how results blend and balance with your individual features and expectations.
Thank you for sharing your question. Generally speaking, you are correct. The inner corners of the eyes (medial canthi) are used as landmarks for the nasal width. However, this is not an absolute among all ethnicities and must be evaluated on a patient to patient basis. Specific details of the nostril insertion and the amount of flare must also be taken into consideration. I hope this helps. Take care.
Yes, the standard in assessing nasal anatomy is to favor nostrils that do not extend outside of a vertical line dropped from the inner canthus (corner) of the eye. However nothing is written in stone about this and each individual will have their own aesthetic ideal. Once you have seen a nasal surgeon then he can give you an idea of whether nostril narrowing will have a positive effect on your overall appearance. Best of Luck Dr Harrell
Yes what you say is generally considered ideal for a caucasian. However each individual is very different and there are many exceptions. So for instance someone may still have a very pretty nose but have nostrils that are wider than the width between the inner parts of the eyes, and vice versa. Ultimately these ideals need to be looked at with an aesthetic eye to determine if they are correct for each individual.
Dear 13almw,Thank you for your clinicalpost. By nostril width I think you meanthe outside margins of the alar base (alar nostrils). Ideal anthropometric teachings to discuss thevertical and dropping from the medial canthus or inner aspect of the eyeand a direct line with the outer aspect of the nostril ala. However, this pre-supposes that theintercanthal distance is normal and does not necessarily take into accounttheir wide diversity of ethnicities. Ingeneral, ideal nasofacial balance and proportion is a function of thecraniofacial skeleton of the patient and the nasal shape, length and width. There are many patients where nostril widththat is slightly wider than the inner canthal distance can be ideal andcertainly circumstances where the alar nostril should line up with a verticalline drop from the inner canthus or slightly narrower.To find out more or schedule aconsultation with a plastic surgeon with significant experience inrhinoplasty. A consultation that deploysuse of computer imaging is critical. Theuse of computer imaging in the hands of a very experienced rhinoplasty surgeoncan give you the range of improvements that you might expect given proper anduncomplicated wound healing.I was fortunate to train in bothplastic surgery and ear, nose, throat, head and neck oncology and have beenperforming cosmetic rhinoplasty and septoplasty procedures for 24 years. I find that use of two and three-dimensionalcomputer imaging and help patients understand the range of improvements I knowthat I can achieve and this reduces uncertainty and disappointment.I think seeking out two or threeconsultations with experienced certified rhinoplasty plastic surgeons isimportant and I think you should expect a result that enhances nasofacialbalance and proportion in which the alar width may or may not be at or justinside a vertical line dropped from the medial canthus or not.I hope this information is of someassistance. And best of luck.To find out more, please visit thelink below. To schedule a consultationsimply click on one of the consult request forms on the content page or callthe number and a client service representative will help you promptly.R. Stephen Mulholland, M.D.Certified Plastic SurgeonYorkville, Toronto
Dear 10yearsinthemaking, Thank you for your clinical post and surprisingly well focused photograph. One month is still very early following rhinoplasty. Rhinoplasty can be completely intranasal incisions or external transcolumellar and intranasal incisions. The intranasal incisions can take ...
This is very rare complication, are you sure nothing alloplastic (artificial) was inserted in your nose? this infectious outbreak I've never seen in 20 years doing rhinoplasties using own patient's cartilage.Needs immediate intervention to drain the abscess and remove the source of infection.
Generally, after a year of recovery with rhinoplasty, what you see is what you get. This is especially true of the bridge. In fact, you probably have not noticed much of a change in the bridge since 6 weeks or so after your surgery.