Post-operative satisfaction at 6 months is 87.3% (however, this figure comes with a certain "condition")
What you'll learn from this article:
- Why doctors explore the "real concerns" during consultation
- The analysis method to bridge the gap between your "ideal nose" and "your face"
- What questions come up in rhinoplasty consultations? Pre-consultation checklist
"I don't know what or how to tell the doctor," and you're hesitating to seek consultation? That anxiety is natural. Once you understand the criteria doctors use to make judgments, you can prepare with confidence.
Can't achieve your "ideal nose"? The most important thing in a rhinoplasty consultation
This is the most common question at consultations: "Doctor, can I get a nose like this actress?"
In fact, during a rhinoplasty consultation, the doctor is not viewing the photos you bring in isolation alone.
There is data showing that the most important aspect of preoperative planning for successful rhinoplasty is a comprehensive "nasal-facial analysis" that includes perspectives from the front, side, and below.
Confirming the overall facial balance and asymmetry is the first step to creating a beautiful nose.
For example, if serious maxillary abnormalities or bite problems are identified, a skeletal approach may be recommended before rhinoplasty.
The doctor prioritizes the harmony of your entire face,"Beauty that suits your face"to determine this, the doctor carefully checks your skeletal structure and facial contours during the consultation.
Peek into the doctor's mind! The "10-7-5 method" for deriving facial golden ratios
To systematically evaluate facial asymmetry and explore the underlying causes and treatment approach for rhinoplasty, objective and evidence-based nasal analysis methods such as the "10-7-5 method" are used.
During consultation, the doctor is performing precise calculations in their mind.
For example, the ideal width of the nasal ala (ala nasi: the small nose wings) when viewed from the front is reported to be approximately equal to the distance between both eyes (typically 31–33 mm).
Additionally, the ratio between the columella (the pillar between the nostrils) and the nasal tip when viewed from below is ideally approximately 2:1.
Furthermore, when the ala bulges more than 2 mm outward from the base, this is defined as "nasal alar flare," and the need for correction is considered.
Based on these specific measurements down to the millimeterthe ideal golden ratio optimal for your face is derived.
Millimeter-level precision! The "skin thickness" and "cartilage strength" that determine the surgical technique
"So, what's best in the end?" The most influential factors in the final appearance of the nose are not just "desired height" or "design."
In a rhinoplasty consultation, doctors always confirm "skin thickness and quality" and "skeletal and cartilage strength."
For example, the strength of the alar cartilage (the cartilage that forms the nasal tip shape) significantly affects the surgical plan and the base width of the nose after surgery.
While it may be said generally, if the original cartilage is weak, a graft may be needed to supplement support strength.
Additionally, skin type (Fitzpatrick skin type) correlates with scarring tendency, so doctors carefully examine the skin texture.
Identifying the characteristics of your tissueis a critical mission in consultation to achieve safe and beautiful results.
Does it end with appearance alone? Why "ease of breathing" is always confirmed
"But why am I asked about breathing ease for a cosmetic procedure?" Some may wonder. Actually, what follows is critically important to avoid regret.
Surgery to refine the appearance of the nose can affect the function of the "external and internal nasal valve (the narrowest part inside the nasal cavity)," which is the airway.
Therefore, the consultation always includes confirmation of past nasal injuries, allergies, presence or absence of nasal congestion, and similar factors.
If functional problems are suspected, the doctor may perform a test to see if breathing becomes easier by widening the nasal valve with a cotton swab or similar tool.
One paper reports data showing that functional rhinoplasty to correct septal deviation (the wall separating the left and right nose) significantly improved the NOSE score, which evaluates nasal obstruction, from a preoperative 62.1 to 9.2.
No matter how beautiful the nose, it's meaningless if breathing becomes difficult.Creating a nose that functions wellis something experienced doctors keep firmly in mind.
To avoid failure! 3 things you should prepare before your rhinoplasty consultation
While the internet often suggests "bringing many photos of your desired nose," authoritative peer-reviewed data indicates that a different approach is also extremely important.
In medical literature, physicians are recommended to have patients specifically identify the "top 3 areas of greatest aesthetic dissatisfaction" for them.
If alar flare is not among the top concerns, some reports suggest that it may be wiser to refrain from correction in order to preserve respiratory function and avoid unnecessary scarring.
Additionally, the patient's tolerance for the possibility of scarring and whether they wish to entrust the surgical plan entirely to the physician or have strong personal preferences are also important points to confirm.
As preparation before your consultation,Prioritizing "areas you absolutely want to improve"is the key to significantly enhancing the quality of your consultation.
What you should know to avoid regret: Postoperative course and risks
Patient satisfaction at 6 months postoperatively is at a very high level—however, this figure comes with the condition of "correct understanding of downtime and limitations."
Research using objective assessment tools reports high satisfaction, with FACE-Q (patient satisfaction) scores for overall facial appearance after rhinoplasty at 77.1±7 (out of 100 points).
Crookednose correction, with data showing that over 65% of patients achieved "excellent" or "good" results.
However, cartilage has a "memory" that causes it to return to its original shape, and subtle changes may occur over time.
It is not uncommon for swelling to completely resolve and tissues to stabilize over 6 months to nearly 1 year.
In one surgeon's series of 436 consecutive rhinoplasty cases, the average alar base reduction width was 4.5 mm, with fine adjustments accumulated within safe ranges.
Understanding the process to completion and potential risks beforehandcan greatly alleviate postoperative anxiety.
If you find yourself thinking, "What about my case?"
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Summary of this article
- Physicians analyze overall facial balance and millimeter-level proportions (such as the 10-7-5 method)
- Skin thickness and cartilage strength determine the limits of achievable design
- Confirmation of respiratory function (ease of breathing) is essential in addition to appearance
- Deciding on the "top 3 concerns" you want to address first will help your consultation proceed smoothly
Did you get a sense of what you'll be asked during a rhinoplasty consultation and what you should prepare?
If you have any concerns about your facial balance, cartilage condition, or other aspects, please feel free to consult with us first. At Zetith Beauty Clinic, we provide consultations based on medical evidence.
References
- Rohrich R, Savetsky I, Suszynski T, et al. Systematic Surgical Approach to Alar Base Surgery in Rhinoplasty. Plastic & Reconstructive Surgery. 2020DOI
- Brito Í, Avashia Y, Rohrich R. Evidence-based Nasal Analysis for Rhinoplasty: The 10-7-5 Method. Plastic and Reconstructive Surgery - Global Open. 2020DOI
- Rohrich R, Malafa M, Ahmad J, et al. Managing Alar Flare in Rhinoplasty. Plastic & Reconstructive Surgery. 2017DOI
- Chen K, Kondra K, Nagengast E, et al. Syndromic Synostosis. Oral and Maxillofacial Surgery Clinics of North America. 2022DOI
- Rohrich R, Mohan R. Male Rhinoplasty: Update. Plastic & Reconstructive Surgery. 2020DOI
About the author of this article
Hiromitsu NakamuraPhysician
Zetith Beauty Clinic Ginza, Osaka, Fukuoka
With a track record of research presentations at domestic and international academic conferences, he is involved in technical guidance and education across Zetith Beauty Clinic. He specializes in precision rhinoplasty based on anatomical evidence and pursues natural results tailored to each individual's skeletal structure and tissues.
About the author of this article
Hiromitsu NakamuraGinza Clinic Physician
Zetith Beauty Clinic Ginza, Osaka Shinsaibashi, and Fukuoka locations
With a track record of research presentations at domestic and international academic conferences, he is involved in technical guidance and education across Zetith Beauty Clinic. He specializes in precision aesthetic medicine based on anatomical evidence and pursues natural results tailored to each individual's skeletal structure and tissues.
Summary of this articlePhysicians analyze overall facial balance and millimeter-level proportions (such as the 10-7-5 method)Skin thickness and cartilage strength determine the limits of achievable designConfirmation of respiratory function (ease of breathing) is essential in addition to appearanceDeciding on the "top 3 concerns" you want to address first will help your consultation proceed smoothlyDid you get a sense of what you'll be asked during a rhinoplasty consultation and what you should prepare?If you have any concerns about your facial balance, cartilage condition, or other aspects, please feel free to consult with us first. At Zetith Beauty Clinic, we provide consultations based on medical evidence.ReferencesRohrich R, Savetsky I, Suszynski T, et al. Systematic Surgical Approach to Alar Base Surgery in Rhinoplasty. Plastic & Reconstructive Surgery. 2020DOIBrito Í, Avashia Y, Rohrich R. Evidence-based Nasal Analysis for Rhinoplasty: The 10-7-5 Method. Plastic and Reconstructive Surgery - Global Open. 2020DOIRohrich R, Malafa M, Ahmad J, et al. Managing Alar Flare in Rhinoplasty. Plastic & Reconstructive Surgery. 2017DOIChen K, Kondra K, Nagengast E, et al. Syndromic Synostosis. Oral and Maxillofacial Surgery Clinics of North America. 2022DOIRohrich R, Mohan R. Male Rhinoplasty: Update. Plastic & Reconstructive Surgery. 2020DOIAbout the author of this articleHiromitsu NakamuraPhysicianZetith Beauty Clinic Ginza, Osaka, FukuokaWith a track record of research presentations at domestic and international academic conferences, he is involved in technical guidance and education across Zetith Beauty Clinic. He specializes in precision rhinoplasty based on anatomical evidence and pursues natural results tailored to each individual's skeletal structure and tissues.