By Professor Dr. med. Dr. habil. Werner L. Mang (auth.)
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This is to ensure optimal shaping of the supratip region. Failure to free all the connective tissue structures in this region from cartilage can produce unaesthetic results - such as a "parrot beak" - at a later date. 34 • The superfluous mucosa in the region of the front edge of the septum can now be resected. • If the patient has requested a turned-up nose, it is necessary to remove correspondingly larger portions of the cartilaginous and bony structures ofthe nose. • When reshaping the nasal tip, the trick is to leave the mucosa intact.
Glabellar angle: 12 degrees (women) 95-100 degrees (men) degrees (formed by the intersection of the nasal root-to-tip and nasal tip-to-chin lines) 35 degrees. The facial proportions are an important factor to be considered during planning of the septorhinoplasty. The no se should not be too large or dominant; neither should it be too small or doll-like. The art of aesthetic surgery lies in the creation of natural proportions. To achieve this goal, it is useful to divide the face into zones; for this purpose there are three horizontal zones and five vertical zones.
17 -------------------------------------------------------------------~ Ineision Une '" ftS Q. o c: cr::: • The columella clamp is placed exacdy at the level where the incision line will be later on; it is then fixed in place with the screw mechanism. The clamp is held in the left hand slightly under tension and positioned vertically toward the front. • Holding the number 15 scalpel in his or her right hand, the surgeon simultaneously makes the transfixation incision. This incision starts at the anterior nasal spine and proceeds upwards along the anterior edge of the columella clamp.
Manual of Aesthetic Surgery 1 by Professor Dr. med. Dr. habil. Werner L. Mang (auth.)