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The nose can be conveniently divided into several subunits: the dorsum, the sidewalls (paired), the hemilobules (paired), the smooth triangles (paired), alae (paired), and the columella. Viewing the external nasal anatomy by its subunits is necessary as a result of defects that span a complete subunit are normally repaired with reconstruction of that subunit. Burget suggests alternative of the complete subunit if greater than 50% of the subunit is misplaced during resection.Three Aesthetically, the nose—from the nasion (nasofrontal junction) to the columella-labial junction—ideally occupies one third of the face within 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 usually 120° and slightly extra acute in males than in females. The nasofacial angle, or the slope of the nose in contrast with the airplane of the face, is roughly 30-40°. The nasolabial angle between the columella and philtrum is about 90-95° in males and 100-105° in females.
On profile view, regular columella present, ie, the peak of the nasal aperture seen, is 2-four mm. The dorsum ought to be straight. From under, the alar base types an isosceles triangle, with the apex at the infratip lobule just beneath the tip. Appropriate projection of the nasal tip, or the distance of the tip from the face, is judged by utilizing the Goode rule. Tip projection must be 55-60% of the space between the nasion and tip-defining point. A columellar double break may be present, marking the transition between the intermediate crus of the lower lateral cartilage and the medial crus.
Nostril anatomy. Picture used with permission. Nostril anatomy, base.