The Structure of Your Nose
All surgery begins with an understanding of anatomy and physiology. For rhinoplasty, with its concentration on aesthetics, a critical understanding of anatomy is essential, as is an artistic conception of the aesthetically pleasing nose. In fact, the results achieved in rhinoplasty can almost directly be correlated to the surgeon’s ability to control how subtle changes in the nose’s bony and cartilaginous framework will alter its overall aesthetic. However, as rhinoplastic and revision rhinoplasty surgeons, Drs. Solieman and Litner know that it is critical to recognize that nasal aesthetics and form cannot supercede respiratory function. In other words, they know that it would make no sense to give you an attractive nose through which you cannot breathe.
The nose is ultimately and primarily important in allowing you to breathe. Drs. Litner and Solieman will seamlessly connect and integrate the overlying anatomic form with the underlying functional requirements. One of the fundamental underpinnings of all the surgical approaches and techniques employed in their practice is a long-standing proven history of effecting desired aesthetic changes while allowing for maintained or added support for respiratory function.
All too often, Drs. Solieman and Litner have seen in the revision rhinoplasty (patients who have had rhinoplasty done elsewhere and want correction) population that when enough attention and respect are not accorded to these principles, patients may suffer from debilitating nasal obstruction.
Analysis of the nose requires an understanding of the anatomic components that result in topographic surface features. The nose can be separated into various anatomic components including:
- The skin- soft tissue cover
- The bony pyramid (nasal bones, bony septum, and ascending process of the maxilla)
- The cartilaginous pyramid (upper lateral cartilages and cartilaginous septum), and
- The nasal tip (lower lateral cartilages)
Knowledge of this three-dimensional anatomy, when combined with clear aesthetic understanding enables Drs. Litner and Solieman to develop a clear surgical outline without unnecessary impingement on respiratory function.