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An Overlooked Landmark for the Crooked Nose: Eyebrow Position
Background Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical f...
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Published in: | Aesthetic plastic surgery 2020-10, Vol.44 (5), p.1718-1724 |
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Main Authors: | , , , |
Format: | Article |
Language: | English |
Subjects: | |
Citations: | Items that this one cites Items that cite this one |
Online Access: | Get full text |
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Summary: | Background
Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical facial appearance may be overlooked by surgeons.
Objective
To define the relationship between the eyebrow position and external nasal deviation in patients with a crooked nose.
Design, Setting, and Participants
Analysis was made of the preoperative and 6-month postoperative life-size photographs of female rhinoplasty patients who had been referred to the senior author’s clinic between May 2014 and June 2019. The anthropometric landmarks on the life-size photographs were identifed. The most medial points of the eyebrows and most deviated part of the nose were marked and the distance from the mid-canthal point was measured.
Main Outcomes and Measure
The direction and amount of eyebrow shift were compared with the direction and amount of nasal deviation.
Results
Of the total 94 female rhinoplasty patients with at least one level external nasal deviation, 67 (71.2%) had ipsilateral eyebrow shift with external nasal deviation. The preoperative external nasal deviation amount was 1.81 ± 1.21 mm and preoperative eyebrow shift was 1.18 ± 1.06 mm (
rS
= 0.429,
p
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ISSN: | 0364-216X 1432-5241 |
DOI: | 10.1007/s00266-020-01786-z |