Becker Rhinoplasty Center
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DR BECKER IS NOW TREATING RHINOPLASTY PATIENTS BY TELEHEALTH.

During the COVID-19 state of emergency, in order to protect our patients and staff, but in order to communicate with patients and plan for the future, Dr Becker will communicate with potential rhinoplasty patients by Telehealth. Telehealth appointments may be scheduled on the phone (our operators our working remotely). Visits will be performed by audio or video discussion.

Becker Rhinoplasty Center
Central New Jersey
609-436-5740
Southern New Jersey
856-772-1617
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  • Meet the Doctor
  • Procedures
    • Rhinoplasty
    • Revision Rhinoplasty
  • Photos
    • Bulbous Tip
    • Droopy Nose
    • Ethnic Rhinoplasty
    • Finesse Rhinoplasty
    • Nasal Bump
    • Nasal Fracture
    • Narrow Nose
    • Overprojected
    • Revision Rhinoplasty
    • Saddle Nose
    • Twisted Nose
    • Underprojected
    • Unique Issues
    • Upturned Nose
    • Wide Nose
  • Testimonials
    • Patient Reviews
    • Testimonial Videos
  • Videos
    • Testimonial Videos
    • Educational Videos
  • Patient Education
    • Nose Form & Function
    • A Patient’s Guide
    • Books & Publications
    • Revision Rhinoplasty Textbook
    • Rhinoplasty Education
    • Rhinoplasty Dissection Manual
  • Locations
    • Sewell Office
    • Voorhees Office

Appendix D – Surface Angles, Planes, and Measurements

Measurements: Definitions

Facial thirds

Upper third: Trichion to glabella

Middle third: Glabella to subnasale

Lower third: Subnasale to menton

Horizontal fifths: Five equally divided vertical segments of the face

Frankfort plane: Plane defined by a line from the most superior point of auditory canal to most inferior point of infraorbital rim

Nasofrontal angle: Angle defined by glabella-to-nasion line intersecting with nasion-to-tip line. Normal, 115 to 130 degrees (within this range, more-obtuse angle more favorable in female, and more acute angle in male patients)

Nasofacial angle: Angle defined by glabella-to-pogonion line intersecting with nasion-to-tip line. Normal, 30 to 40 degrees

Nasomental angle: Angle defined by nasion-to-tip line intersecting with tip-to-pogonion line. Normal, 120 to 132 degrees

Relationship of lips

To nasomental line: Upper lip, 4 mm behind; lower lip, 2 mm behind line from nasal tip to menton

To subnasale-to-pogonion line: Upper lip, 3.5 mm anterior; lower lip, 2.2 mm anterior Mentocervical angle: Angle defined by glabella-to-pogonion line intersecting with menton-to-cervical point line

Legan facial-convexity angle: Angle defined by glabella-to-subnasale line intersecting with subnasale-to-pogonion line; normal, 8 to 16 degrees

PEARL
Useful in assessing chin deficiency, candidacy for chin implant, chin advancement, or other chin alteration

Nasolabial angle: Angle defined by columellar point-to-subnasale line intersecting with subnasale-to-labrale superius line; normal, 90 to 120 degrees (within this range, more obtuse angle more favorable in female, and more acute in male patients)

Columellar show: Alar-columellar relationship as noted on profile view; 2 to 4 mm of columellar show is normal

Nasal projection: Anterior protrusion of nasal tip from face

Goode’s method: A line drawn through the alar crease, perpendicular to the Frankfurt plane. The length of a horizontal line drawn from the nasal tip to the alar line divided by the length of the nasion-to-nasal tip line. Normal, 0.55 to 0.60 (2,3)

Crumley’s method: The nose with normal projection forms a 3-4-5 triangle (i.e., alar point-to-nasal tip line (3), alar point-to-nasion line (4), nasion-to-nasal tip line (5) (4). Byrd’s method: Tip projection is two-thirds (0.67) the planned postoperative (or the ideal) nasal length. Ideal nasal length in this approach is two-thirds (0.67) the midfacial height (5)

Powell and Humphries Aesthetic Triangle

Nasofrontal: 115 to 130 degrees

Nasofacial: 30 to 40 degrees

Nasomental: 120 to 132 degrees Mentocervical: 80 to 95 degrees

REFERENCES

  1. Tardy ME, Walter MA, Patt BS. The overprojecting nose: anatomic component analysis and repair. Facial Plast Surg 1993;9:306-316.
  2. Ridley MB . Aesthetic facial proportions. In: Papel ID, Nachlas NE , eds. Facial plastic and reconst r uctive surgery. St. Louis : Mosby Year Book, 1992:99-109.
  3. Crumley RL, Lamer M. Quantitative analysis of nasal tip projection. Laryngoscope 1998;98:202-208.
  4. Byrd HS, Hobar PC. Rhinoplasty: a practical guide for surgical planning. Plast Recon.str Surg 1993;91: 642-654.

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REVIEWS

"Dr. Daniel Becker is the sweetest most caring person. It’s almost a year since I had a really bad nose bleeds and he was there for us, came to hospital in the snow on a Sunday just to fix me. He is so very special and always there when you need him. Love him!!!"

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