This should not be construed as medical advice. I am a retired Board Certified Plastic Surgeon.How to Document Nasal Deformity, Contours of the Nose, and Results of Nasal Surgery Rhinoplasty and Reconstruction of Nose
My Standard Pictures for Rhinoplasty
were evolved before my passion for the dynamic component. Although there is not much movement in the nose during facial expressions, I have learned that a bad nose job can be seen while people are talking. Too late for me, now retired, but something to consider for anyone who has a passion for perfection. It really can show tissue pulling poorly over an inadequate nasal cartilage framework. Not a problem with my patients, just something I picked up watching faces of other surgeon's work. Not certain what ballet of expressions would bring that out but
- face relaxed
- opening mouth wide
- wrinkling nose,
- using facial muscles to pull mouth to left then to right
each set views would need at least front and sides would be a start for a dynamic assessment. I do not know how to visually document airflow other than the mirror placed under the nose, perhaps a video of that would also be a start. Remember, we are looking at the nose chin facial unit, especially when the chin is out of balance with the nose and needed augmentation as part of the sculpture.
My original guesses and eventual final standard sets did evolve as I tried the documentation methods over the years.
Have an idea, care to demonstrate it? Let us build a more critical documentation system.
Hope this helps,
Michael Bermant, MDLearn More About Rhinoplasty, Septoplasty, and Sculpture
Michael Bermant MD
Retired Plastic Surgeon