Rhinoplasty and the negotiation of physical appearance

Written by: Dr. Javier Arias Gallo
Edited by: Anna Raventós Rodríguez

One of the most important functions of the face is to introduce ourselves as human beings. And there is no doubt that the nose, because it is in the center of the face, gives a specific character to the rest of the factions. The nose as such is a genuinely human characteristic, and is a distinctly differentiating feature with respect to our cousins ​​the chimpanzees and gorillas. Thus, along with increased brain power, erect position and ability to oppose the thumb to the other fingers, the nose makes us humans. The size and shape of the nose will tell a lot to others what kind of humans we are.


There are small noses. They are big noses; and fine, and the bulbous, and straight, twisted and. The nose is at the center of the face, and throughout life is exposed to the rigors vital as strokes, infections, air flow more or less difficulty; but also the pressure of the masticatory muscles on the facial skeleton.


Rightly or wrongly, the shape and size of the nose create an impression in others and in oneself. And many times it is a subtle impression. How often judged someone who is unreliable, or is aggressive, or that is elusive, not quite knowing why. And many times that why is influenced by the nose.

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Excessively small nose conveys a feeling of slight poverty. A large nose, on the other hand, gives an expansive appearance to the face, perhaps generous, perhaps rough. The aquiline noses give some rapacious air. A thin-skinned nose conveys elegance to the person, much like a thick-skinned nose or poorly defined anatomical structures, gives some idea of ​​a lack of class. A twisted and flattened nose leads us directly to a boxer, or someone problematic ...


It is true that these features are very subtle. When we see a person for the first time, he receives all the information. In general, people receive all the visual stimuli on the others, and often do not individualize the defects that are very evident to the experts.


Negotiate the appearance when planning a rhinoplasty

When a person cosmetic surgery on the nose is raised, the situation is quite different. The person has looked a lot, front, half side or even profile (through a mirror, or becoming a selfie ). Even from below. The patient who requests information about nose surgery usually has a clear idea of ​​the problems that have their own nose. And yet, during the interview, it is very common that the patient's criterion does not coincide with that of the surgeon. For example, quite often, patients with pronounced nasal "trestle" are not aware that part of the deformity may be due to a nasal tip too small, and not so much to a larger than normal nose. Something similar happens with patients with easel and small chin. The size of the nose and chin size should be balanced so that the face look harmonious. However chin is sometimes unjustly forgotten in nose surgery. It may be more appropriate to discretely reduce the size of the nose while increasing the size of the chin. It is thus achieved the right balance between the parties, leaving the patient with a ridiculously small nose.


As the example above there are several situations where the main concern of the patient does not match the criteria of specialist Oral and Maxillofacial Surgery. This does not mean that the physician ignore the demands of the patient. It means that the task of the physician is to convey the patient to achieve the desired visual result, it is advisable to make changes to the rest of the nose, or the rest of the face, which at first can be a bit complicated to understand.


The surgeon should never be a "dispatcher" of operations at the sole discretion of the patient but must be a professional to guide the patient to the best solution for your problem, and that complements the idea that brings the patient to the query.

*Translated with Google translator. We apologize for any imperfection

By Dr. Javier Arias Gallo
Oral and Maxillofacial Surgery

Dr. Arias Gallo is a leading specialist in Oral and Maxillofacial Surgery, with twenty years of experience, expert in aesthetic and functional nasal surgery, reconstructive surgery and microsurgery, pre-prosthetic surgery and dental implants, among others. He is currently clinical team leader Maxillofacial Surgery Hospital Ruber Juan Bravo. In addition, he has combined his professional work with teaching specific courses conducted surgical training in microsurgery and advanced dental implant surgery for residents and specialists.

*Translated with Google translator. We apologize for any imperfection

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