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The nostril may be conveniently divided into several subunits: the dorsum, the sidewalls (paired), the hemilobules (paired), the delicate triangles (paired), alae (paired), and the columella. Viewing the external nasal anatomy by its subunits is important because defects that span a complete subunit are usually repaired with reconstruction of that subunit. Burget suggests alternative of the whole subunit if more than 50% of the subunit is misplaced throughout resection.Three Aesthetically, the nose—from the nasion (nasofrontal junction) to the columella-labial junction—ideally occupies one third of the face in the vertical dimension.
From ala to ala, it ought to ideally occupy one fifth of the horizontal dimension of the face. The nasofrontal angle between the frontal bone and nasion is often 120° and slightly extra acute in males than in females. The nasofacial angle, or the slope of the nose compared with the aircraft of the face, is approximately 30-40°. The nasolabial angle between the columella and philtrum is about 90-95° in males and 100-105° in females. On profile view, normal columella show, ie, the top of the nasal aperture seen, is 2-4 mm.
The dorsum ought to be straight. From under, the alar base kinds an isosceles triangle, with the apex at the infratip lobule just beneath the tip. Appropriate projection of the nasal tip, or the space of the tip from the face, is judged through the use of the Goode rule. Tip projection needs to be 55-60% of the space between the nasion and tip-defining point. A columellar double break could also be present, marking the transition between the intermediate crus of the lower lateral cartilage and the medial crus.
Nose anatomy. Picture used with permission.
