Anatomy
• Skin
• Subcutaneous tissue
• Osteocartilaginous complex
– Nasal valves
• Blood Supply
Rhinoplasty Current Concepts 2010 Gruber R
Kim EG, Eom TK, Kang SJ. Severe visual loss and cerebral infarction after injection of hyaluronic acid gel. J Craniofac Surg. 2014;25(2):684-6
Subcutaneous Tissue
• Superficial fatty panniculus
• Fibromuscular layer: SMAS
• Deep fatty layer
• Periosteum/ Perichondrium
Hedén, Per. Nasal Reshaping with Hyaluronic Acid: An Alternative or Complement to Surgery. Plastic and reconstructive surgery. vol. 4,11 e1120. 28 Nov. 2016
Plunging tip – Optical illusion?
Kosins AM, Lambros V, Daniel RK. The plunging tip: illusion and reality. Asethet Surg. 2014 Jan 1:34(1):45-55.
Muscles
• Intrinsic
– Procerus, pars transversa, pars alaris
• Extrinsic
– Levator labii superioris alaeque nasi
– Zygomaticus minor
– Orbicularis oris
– Depressor septi
Anatomy
• Skin
• Subcutaneous tissue
• Osteocartilaginous complex
– Nasal valves
• Blood Supply
Rhinoplasty Current Concepts 2010 Gruber R
Nasal Valves
Acta Otolaryngol 2008 Suh MW: CT vs nasal endoscopy for the measurement of the internal nasal valve in Asians
Asians : 21.6 +/- 4.5
Anatomy
• Skin
• Subcutaneous tissue
• Osteocartilaginous complex
– Nasal valves
• Blood Supply
Rhinoplasty Current Concepts 2010 Gruber R