Skin quality: Thin, medium, or thick
Primary descriptor (i.e., why is the patient here): For example, “big,” “twisted,” “large hump”
Twisted or straight: Follow brow-tip aesthetic lines Width: Narrow, wide, normal, “wide-narrow-wide” Tip: Deviated, bulbous, asymmetric, amorphous, other
Triangularity.: Good versus trapezoidal
Tip: Deviated, wide, bulbous, bifid, asymmetric
Base: Wide, narrow, or normal. Inspect for caudal septal deflection
Columella: Colurnellar/lobule ratio (normal is 2:1 ratio); status of medial crural footplates.
Nasofrontal angle: Shallow or deep Nasal starting point: High or low
Dorsun: Straight, concavity, or convexity, bony, bony-cartilaginous, or cartilaginous (i.e.,
is convexity primarily bony, cartilaginous, or both)
Nasal length: Normal, short, long
Tip projection: Normal, decreased, or increased
Alar-columellar relationship: Normal or abnormal
Naso-labial angle: Obtuse or acute
Does it add anything, or does it confirm the other views?
Many other points of analysis can be made on each view, but these are some of the vital points of commentary.