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The Golden Triangle Method: A Novel Simulation Framework for Rhinoplasty Design
Yusuf Erbayat1, Ahmet Kirazoglu2, Kemalettin Yıldız3
1Department of Plastic, Reconstructive and Aesthetic Surgery, Recep Tayyip Erdogan University Teaching and Research Hospital, İslampasa Mh. Sehitler Cd. No:74 Merkez, Rize, Turkey. erbayaty@gmail.com.
Aesthetic Plastic Surgery
|August 3, 2026
Summary
The Golden Triangle method offers a new geometric approach to rhinoplasty simulation, enhancing aesthetic outcomes and surgeon agreement. This systematic framework improves facial harmony and patient satisfaction in nasal procedures.
Area of Science:
- Plastic Surgery
- Geometric Modeling
- Facial Aesthetics
Background:
- Current rhinoplasty simulation methods lack standardization, relying on subjective planning and leading to inconsistent results.
- A unified geometric framework is needed to achieve harmonious nasal designs in rhinoplasty.
Purpose of the Study:
- To develop and validate a geometric framework for systematic determination of optimal nasal landmark positions based on facial proportions.
- To evaluate the aesthetic acceptability and consistency of the proposed framework.
Main Methods:
- A prospective study involving 30 young women undergoing primary rhinoplasty.
- The Golden Triangle method, utilizing a 36°-apex isosceles triangle, was employed for landmark determination.
- Simulations were created using GeoGebra and Adobe Photoshop; aesthetic evaluations were performed using Visual Analog Scales (VAS) by patients and surgeons.
Main Results:
- Patient VAS scores significantly improved from 41.3 to 81.9 (p < .001), and surgeon ratings increased from 34.7 to 72.6 (p < .001).
- Interrater agreement improved, with a decrease in the coefficient of variation by 66.2% for patients and 53.7% for surgeons.
- Technical parameters achieved "ideal" consensus in 93-97% of cases, with nasal ratios converging toward reference values.
Conclusions:
- The Golden Triangle method provides a systematic and effective approach to rhinoplasty simulation.
- This geometric framework significantly enhances aesthetic ratings and interrater agreement.
- The method utilizes affordable software, making it a practical tool for improving rhinoplasty outcomes.
