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Proportions and Relative Sizes in Rhinoplasty

This audio podcast has been transcribed using an automated service. Please forgive any typographic errors or other transcription flaws.

This podcast is going to talk about proportions more specifically for rhinoplasty, but also for all different types of the face, different parts of the face. So the thing about proportion, I like to use as analogy. I think it’s going to make it more sense for you. I think about if you have a glass of water on a television screen, and I asked you, how big is this glass of water? You’re going to say, well, I have no reference points as a glass of water. I have no idea how big it is, but once I put a
shot glass next to it, the original glass of water now looks large without even changing the size of it. If I put a picture of water next to it, the original glass of water looks smaller and I haven’t changed the size of the original glass of water.

So everything is about relative proportion. So when you’re looking at a face nose or whatever, it may be what leads toward more attractiveness is not necessarily symmetry, which everyone focused on symmetry, but it’s on proportion. And so if I make one area larger, another area looks smaller. So for the nose, I break down the relative size of the nose, into the bridge, the tip and the sides of the nose or the ALA. So if you think about this, let’s take the bridge. You have a very low bridge, like in an Asian, for example, and you don’t like how fat the tip looks. If I raise the bridge, the tip can actually look smaller. If I overgrazed the bridge, then the tip can look too diminutive and too small and short the sides of the nose. Everyone thinks, you know, when you’re dealing with the ethnic knows that the flare of the nostrils important, vast majority actually do something with the nostrils, but when the nostrils are very flared, looking as what you think it is, but then actually the central tip is the problem.

And you can’t make the tip too small an ethnic nose. When you try to reduce the size of the nose, you may make the center looked disproportionally too large, and then make the whole thing look off. And other interesting thought is the aging of a nose or aging rhinoplasty, people say, you know, my nose certainly got a lot bigger at the age of 40, but if you look at Leonardo da Vinci, when he shows aging noses, they don’t really occur until the sixties or beyond. So the question then is if aging of the nose occurs down the line, then what is happening at the age of 40? You know, is there some kind of aging going on? And actually what’s happening is that we oftentimes lose volume to the rest of the face and the nose, which is mainly hard architecture rather than soft architecture is maintained more because we lose more soft architecture, like fat and soft tissue of her face. And we do hard architecture. So the nose becomes proportionately larger in appearance to the face, even though the nose actually didn’t get larger, the face got smaller. So this is all the ideas of proportion that I just wanted to give you some ideas. And so this is why our artistry for anything on the face or any part of anything, cosmetic is such an important thing because you can follow rules and say, this must be a certain size. That must, but really what it comes down to is proportion.