Anatomy and Ideal face and nose :

R1

Orientation
Cephalic Caudal Anterior Posterior

Facial landmark

Tip defining point

Four landmarks on the nasal tip - Supratip break -The right dome -The left dome - Infratip break

Skin soft tissue envelope

Skin Superficial fatty layer Fibromuscular layer Deep fatty layer Periochondrium

Muscles

Circulations

Circulations

Septum

Lat. wall

Nerves

CN V(trigeminal nerve)
opthalmic nerve( V1)
ant. Ethmoidal n.
Latral br.
External nasal branch of ant. Ethmoidal n.

Septal br.

maxillary nerve( V2)

infraorbital n.

Bones
Nasal bone Frontal process of maxilla Vomer Ethmoid bone Septal cartilage (qaudriangular cartilage) Upper lateral cartilage Lower lateral cartilage

Nasal bone Frontal process of maxilla Vomer Ethmoid bone Septal cartilage (qaudriangular cartilage) Upper lateral cartilage Lower lateral cartilage

Upper lateral cartilage

Keystone area
Upper lateral cartilage nasal bone (6-8mm ) Upper lateral cartilage, nasal bone, nasal septum, perpendicular plate Y I

Lower lateral cartilage

Medial crus
Footplate segment Columellar segment

Middle crus
Domal segment Lobular segment

Lateral crus

Ideal face and nose

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Ideal face and nose

Reference
- volume II
P. 1467-1473

Rhinoseptoplasty
P.11 p.24