Correction of the skeletal nasal base in rhinoplasty

The anatomic abnormalities responsible for the unesthetic nose have been rather extensively described and detailed in clinical studies, applied clinical research (anthropometric) evaluations, and laboratory investigations. These include alterations in the nasal bones, septum, upper lateral cartilage, lower lateral cartilages, skin, nerves, and vessels. However, little attention has been directed to the nasal base, which is frequently deficient and/or asymmetrical in people with nasal deformities. The importance of recognizing this deformity when evaluating patients for rhinoplasty and its subsequent correction as part of the procedure are discussed.