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The aesthetic nose: do we agree?

M Mendelsohn¹, M Farrell

¹Department of Otolaryngology, Royal Prince Alfred Hospital, Sydney, Australia.

The Journal of Otolaryngology

|December 1, 1995

Summary

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People have varying ideas about attractive noses, even when specific features are altered. This study highlights the importance of personalized patient requests over a standard aesthetic ideal in rhinoplasty surgery.

Area of Science:

Plastic Surgery
Aesthetic Science
Facial Aesthetics

Background:

Preoperative consultations in rhinoplasty aim to align surgeon and patient aesthetic goals.
Defining a universally attractive nose remains a complex challenge in aesthetic surgery.

Purpose of the Study:

To evaluate consensus on nasal attractiveness among a diverse group of judges.
To determine preferences for specific nasal parameters (tip projection, tip rotation, dorsal hump size) in rhinoplasty.

Main Methods:

Utilized computerized video-imaging to generate nine distinct case studies of rhinoplasty modifications.
Isolated alterations to single parameters: tip projection, tip rotation, or dorsal hump size.
Surveyed 250 judges to identify the most aesthetically pleasing image within each case study.

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Main Results:

Significant trends in preference were observed for specific nasal features.
Midrange values were preferred in most cases, with notable exceptions.
Overcorrection was preferred over undercorrection for tip projection, tip rotation, and dorsal hump size.

Conclusions:

Individual preferences for nasal aesthetics vary significantly, challenging the concept of a 'standard' attractive nose.
The observed discrepancies underscore the critical need for surgeons to prioritize and understand individual patient requests in rhinoplasty.