Anatomy Of Nose

Today I will attempt to explain using simple language that the unintelligent masses can understand of the basics of that which we do to parts of nose to make more aesthetic.

Nasal bones - these compose the top third of the nose, and will usually need to be significantly hacked away during surgery to sculpt lovely "scoop" in profile. In addition, they should always be broken - whether patient ask for this of not - and pushed together to make bridge of nose as narrow as possible (the thickness of a piece of cardboard as a good ideal to aim for). Always make sure one side is pushed in more than another, this creates impression of nose being even thinner and also creates harmonious asymmetry which will look wonderful on patient. Sometimes patient will complain of asymmetry or supposed "open roof deformity" (which is NOT a deformity! is lovely aesthetic feature of beautiful nose), this just means you have not made it narrow enough. Try to coerce patient into getting second surgery with you, then break nasal bones and shift in so nose is even thinner! At this point you should not be getting any further complaints from patient; as they will either become accustomed to their aesthetic new look, or go and commit suicide. Either scenario is fine for surgeon.

Upper Lateral Cartilages - These are them what form the middle section of the nose. Always should have outside edge cut off along with bone and septum to make nose smaller and more aesthetic. During surgery, they should be detached from the nasal bone and be allowed to collapse, thus producing a pleasing narrowness of nose. This may present the patient with some breathing difficulties, but this should not bother them as they should be grateful for beautiful aesthetic of new nose.

Lower lateral cartilages - These comprise lower part of nose and what give shape to the tip. These can often present problem as being bulbous and wide; and having unattractive "normal" level of columellar show. The best way to deal with these is to cut out as much as possible. This allows for slender, sculpted pointy tip and attractive, aesthetic alar retration.




Left we see unattractive "normal" nose. Right, we can see that with almost entire removal of lower lateral cartilage will create aesthetically pleasing alar retration, which will allow another to see up one's nose. Many say that eyes are the window to a person's soul, but I truly believe nostrils are the windows to the soul. With creating alar retraction, we allow people to gave upon a patient's soul by giving other people a look at the interior of their nose.



Septum - this if the middle part of the nose, and all that is really necessary for a beautiful nose (look at LaToya Jackson). Is truly beautiful this to witness nose comprised entirely of septum, unencumbered by unsightly, unaesthetic bone and cartilage.
Generally, should have outside edges resected when trimming entire nose to make smaller and more aesthetic. Sometimes this can be crooked, in this case, we should never attempt to straighten it, but attempt to create an asymmetrical look for entire nose to match.

By following these steps above one will always create aestheticness of beautiful nose! Remember, that what we do will not only change a persons looks, but also change their life!