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Implications of Facial Asymmetry in Rhinoplasty
Rod J Rohrich1,2, Nathaniel L Villanueva1,2, Kevin H Small1,2
1Dallas, Texas; and New York, N.Y.
Plastic and Reconstructive Surgery
|August 26, 2017
Summary
Nasal deviation often correlates with facial asymmetry. Objective measurements confirm subjective surgeon assessments, guiding rhinoplasty for improved patient outcomes.
Area of Science:
- Plastic Surgery
- Facial Analysis
- Rhinoplasty
Background:
- Nasal deviation is a common patient concern in rhinoplasty.
- Patients are often unaware of underlying facial asymmetries.
- The relationship between nasal deviation and facial asymmetry is crucial for surgical planning.
Purpose of the Study:
- To assess the correlation between subjective surgeon assessment and objective anthropometric measurements of facial asymmetry in patients with nasal deviation.
- To quantify the frequency of facial asymmetry associated with nasal deviation.
- To present a surgical technique for correcting deviated noses in asymmetric faces.
Main Methods:
- Diagnostic study, Level IV evidence.
- Subjective facial analysis by surgeons.
- Objective anthropometric measurements.
- Analysis of anatomical trends in nasal deviation and facial asymmetry.
Main Results:
- Nasal deviation is closely related to facial asymmetry.
- Objective facial analysis correlates well with anthropometric measurements.
- The nose typically deviates away from the wider side of the face.
Conclusions:
- Nasal deviation and facial asymmetry are interconnected.
- Objective and subjective assessments of facial analysis align.
- Surgical correction should aim for nasal symmetry and central placement to mitigate perceived facial asymmetry and enhance patient satisfaction.
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