Abstract
The nose plays a central role in determining overall facial aesthetics. Not only does the nose occupy the geographic center of the face, but its prominent relationship to neighboring structures creates a visual emphasis to the observer. For these reasons, surgical alteration of the nose is one of the most common elective facial cosmetic procedures. For many patients, this surgical pursuit comes from a desire for a more “Caucasian” nose. One must be careful when considering the established paradigm for rhinoplasty. Worldwide, there is an emphasis on achieving the classically Caucasian features of a thin nasal bridge, slender nostrils, and straight or slightly convex nasal profile. These standards of beauty have been established by a primarily Caucasian-dominated medical literature and world economy. With this caveat in mind, we will discuss the considerations and techniques utilized to expertly address the female Caucasian rhinoplasty patient, a population with a great deal of nasal variability. In this chapter, the Caucasian patient will refer to those of European ancestry, although the anthropological definition may be extended to some of Middle Eastern and North African descent.
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References
Powell N, Huphreys B (1984) Proportions of the aesthetic face. Thieme-Stratton, New York
Farkas LG, Hreczko TA, Kolar JC, Munro IR (1985) Vertical and horizontal proportions of the face in young adult North American Caucasians: revision of neoclassical canons. Plast Reconstr Surg 7: 328–338
Enquist M, Arak A (1994) Symmetry, beauty, and evolution. Nature 372(6502):169–172
Leong SC, White PS (2006) A comparison of aesthetic proportions between the healthy Caucasian nose and the aesthetic ideal. J Plast Reconstr Aesthet Surg 59(3): 248–252
Pearson DC, Adamson PA (2004) The ideal nasal profile: rhinoplasty patients vs the general public. Arch Facial Plast Surg 6(4):257–262
Springer IN, Zernial O, Nölke F, Warnke PH, Wiltfang J, Russo PA, Terheyden H, Wolfart S (2008) Gender and nasal shape: measures for rhinoplasty. Plast Reconstr Surg 121(2):629–637
Mowlavi A, Meldrum DG, Wilhelmi BJ (2003) Implications for nasal recontouring: nasion position preferences as determined by a survey of white North Americans. Aesthetic Plast Surg 27(6):438–445
Leong SC, White PS (2004) A comparison of aesthetic proportions between the Oriental and Caucasian nose. Clin Otolaryngol Allied Sci 29(6):672–676
Yellin SA (1997) Aesthetics for the next millenium. Facial Plast Surg 13(4):231–239
Rowe-Jones J, Carl van Wyk F (2010) Special considerations in northern European primary aesthetic rhinoplasty. Facial Plast Surg 26(2):75–85
Fitzpatrick TB (1975) Soleil et peau. J Med Esthet 2:33034
Larrabee WF (1989) The tripod concept. Arch Otolaryngol Head Neck Surg 115(10):1168–1169
Adamson PA, Litner JA, Dahiya R (2006) The M-Arch model: a new concept of nasal tip dynamics. Arch Facial Plast Surg 8(1):16–25
Papel ID (2005) Interlocked transdomal suture technique for the wide interdomal space in rhinoplasty. Arch Facial Plast Surg 7:414–417
Peck GC (1983) The onlay graft for nasal tip projection. Plast Reconstr Surg 71(1):27–39
Sheen JH (1993) Tip graft: a 20-year retrospective. Plast Reconstr Surg 91(1):48–63
Soliemanzadeh P, Kridel RW (2005) Nasal tip overprojection: algorithm of surgical deprojection techniques and introduction of medial crural overlay. Arch Facial Plast Surg 7(6):374–380
Kridel RW, Konior RJ (1991) Controlled nasal tip rotation via the lateral crural overlay technique. Arch Otolaryngol Head Neck Surg 117(4):411–415
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Azizzadeh, B., Reilly, M.J. (2013). Primary Caucasian Female Rhinoplasty. In: Shiffman, M., Di Giuseppe, A. (eds) Advanced Aesthetic Rhinoplasty. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-28053-5_13
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DOI: https://doi.org/10.1007/978-3-642-28053-5_13
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