Rhinoplasty anatomy



 
Naficy Plastic Surgery & Rejuvenation Center

Trust your face to a specialist.

Visit us on ...

Facebook

Announcement

Rhinoplasty's are complicated

Rhinoplasty are by far one of the most complex and artistic procedures in facial plastic surgery. Dr. Naficy's practice has been 100% devoted to rhinoplasty and facial plastic surgery for the past 15 years. Trust your nose to an expert!


Announcement

"Patients' Choice Award" by Vitals.com

Dr. Sam Naficy has been awarded the "Patients' Choice Award" by Vitals.com - a website dedicated to rating the quality of physicians across the country. Out of 720,000 physicians, only 5% received this honor.


Rhinoplasty anatomy

Rhinoplasty is by far the most anatomically complex procedure in facial plastic surgery. To understand rhinoplasty better, it helps to isolate the different structural parts that make up a nose. Understanding the anatomy of the nose will be very helpful in your ability to communicate with your surgeon and to visualize the anatomy responsible for the unique features of your nose.

The structural framework of the nose is made up of cartilage and bone, similar to a wooden frame of a house. The skin and soft tissue of the nose cover this structural framework, producing the final shape. The upper one third of the nose (between the eyes) is the bony part, while the middle and lower thirds of the nose are made of cartilages. The septum is a midline partition that divides the nose into two haves.





Anatomy of the nose





Anatomy of the nose

UPPER THIRD

The bony portion of the nose is attached to the facial bones on each side and to the bone of the forehead above. Below, it attaches to and overlaps the upper lateral cartilages.





Anatomy of the nasal bones

MIDDLE THIRD

The middle third of the nose is made up of two relatively flat pieces of cartilage called the upper lateral cartilages. These are overlapped above by the nasal bones and below by the lower lateral cartilages. In the midline, the upper lateral cartilages fuse to the cartilage of the septum.





Anatomy of the upper lateral cartilages

LOWER THIRD

The lower third of the nose is made up of the paired lower lateral cartilages. These are also called the alar cartilages (meaning wing-like), since they are shaped like the wings of a bird in flight. These cartilages can vary quite a bit in size, shape, angulation, and orientation and are responsible for the wide range of nasal tip shapes.





Anatomy of the lower lateral cartilages





Anatomy of the lower lateral cartilages, base view

SEPTUM

The septum divides the nasal passages into two halves, beginning at the nostril opening and extending all the way to the back of the throat. The septum is made up of cartilage in the front and of bone further back. The septum joins the two upper lateral cartilages in the front of the nose. The septum acts as a pedestal upon which the rest of the nose sits. If the septum is crooked, too long, or too short, it can make the entire nose to appear the same way. Deviation or twisting of the septum can also obstruct the nasal passages. Septal deviation can be present since birth or it can develop over time during facial growth. Injury to the nose can also create a deviated septum.





Anatomy of the septum





Anatomy of the septum

SKIN

Your skin plays an equally important role as the bone and cartilage in determining the final shape of your nose. Ideally, the skin and soft tissue should be thin enough to re-drape over the nasal framework, but not too thin so that all details of the bone and cartilage can show through. Thick skin can be a problem in rhinoplasty since it obscures the details of the cartilage and bone underneath and can limit the amount of improvement possible with rhinoplasty. Thin skin is a less of a problem but in extremes it can be a problem since it exaggerates any subtle asymmetries or irregularities of the underlying cartilage and bone.


Top | Back

Rhinoplasty Basics | Rhinoplasty Stages | Rhinoplasty Photos | Dr. Naficy | Contact us

Visit us on ...

Facebook

Copyright © 2000 - 2017  Sam Naficy, M.D.  All rights reserved.

Naficy Plastic Surgery & Rejuvenation Center     1110 112th Ave NE Suite 150 Bellevue, WA 98004     (425) 450-0880