Becker Rhinoplasty Center
  • 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

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
CONTACT US
CENTRALNew Jersey
SouthernNew Jersey
EMAIL
  • 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

Anatomy

Question: What’s so important about the anatomy of the nose?

Answer: The anatomy of the nose is so important because it’s the main reason why your nose looks the way that it does. Because of that, it’s essential that the nose’s anatomy be accurately assessed, whether for a first-time rhinoplasty or a revision procedure, in order to develop a realistic and rational surgical plan. Accurately assessing the nose takes skill and experience.

Question: Can you give a simplified description of the nose’s anatomy?

Answer: Below is a simplified diagram of the nose’s anatomy, including the surface anatomy and the structural (beneath the surface) anatomy. These are reprinted with permission from the textbook Rhinoplasty Dissection Manual by Dr. Daniel Becker and Dr. Dean Toriumi.

Surface Anatomy of the Nose

You might want to print out the images, so that you can refer to them if necessary while browsing the rest of the website.

rhinoplasty sewell nj
Figure 1

Figure 1: Frontal

1 – glabella
2 – nasion
3 – tip-defining points
4 – alar-sidewall
5 – supra-alar crease
6 – philtrum

rhinoplasty Voorhees
Figure 2

Figure 2: Base

1 – infratip lobule
2 – columella
3 – alar sidewall
4 – facet, or soft-tissue triangle
5 – nostril sill
6 – columella-labial angle or junction
7 – alar-facial groove or junction
8 – tip defining points

rhinoplasty Voorhees NJ
Figure 3

Figure 3: Lateral

1 – glabella
2 – nasion, nasofrontal angle
3 – rhinion (osseocartilaginous junction)
4 – supratip
5 – tip-defining points
6 – infratip lobule
7 – columella
8 – columella-labial angle or junction
9 – alar-facial groove or junction

rhinoplasty Sewell NJ
Figure 4

Figure 4: Oblique

1 – glabella
2 – nasion, nasofrontal angle
3 – rhinion
4 – alar sidewall
5 – alar-facial groove or junction
6 – supratip
7 – tip-defining point
8 – philtrum

Figures 5-7 show the internal anatomy, beneath the skin.

rhinoplasty Sewell NJ
Figure 5

Figure 5: Oblique

1 – nasal bone
2 – nasion (nasofrontal suture line)
3 – internasal suture line
4 – nasomaxillary suture line
5 – ascending process of maxilla
6 – rhinion (osseocartilaginous junction)
7 – upper lateral cartilage
8 – caudal edge of upper lateral cartilage
9 – anterior septal angle
10 – lower lateral cartilage – lateral crus
11 – medial crural footplate
12 – intermediate crus
13 – sesamoid cartilage
14 – pyriform aperture

rhinoplasty Voorhees NJ
Figure 6

Figure 6: Lateral

1 – nasal bone
2 – nasion (nasofrontal suture line)
3 – internasal suture line
4 – nasomaxillary suture line
5 – ascending process of maxilla
6 – rhinion (osseocartilaginous junction)
7 – upper lateral cartilage
8 – caudal edge of upper lateral cartilage
9 – anterior septal angle
10 – lower lateral cartilage lateral crus
11 – medial crural footplate
12 – intermediate crus
13 – sesamoid cartilage
14 – pyriform aperture

rhinoplasty Voorhees NJ
Figure 7

Figure 7: Base

1 – tip-defining point
2 – intermediate crus
3 – medial crus
4 – medial crural footplate
5 – caudal septum
6 – lateral crus
7 – naris
8 – nostril floor
9 – nostril sill
10 – alar lobule
11 – alar-facial groove or junction
12 – nasal spine

The septum is the midline structure inside your nose that divides your nose into left and right. The septum is an important structure in septorhinoplasty. Its anatomy is shown here.

rhinoplasty Sewell NJ
Figure 8

Figure 8: Septum

1 – quadrangular caratilage
2 – nasal spine
3 – posterior septal angle
4 – middle septal angle
5 – anterior septal angle
6 – vomer
7 – perpendicular plate of ethmoid bone
8 – maxillary crest, maxillary component
9 – maxillary crest – palatine component

Figures 9-10 are not as important for the web viewer, but they highlight the important fact that the skin over the nose has muscles and blood vessels. This may seem obvious, but it is important because if the surgeon does not fully recognize the importance of this fact, they may operate in the incorrect tissue planes, which can result in violation of the muscle and blood vessels and subsequent abnormal scarring.

rhinoplasty Sewell NJ
Figure 9

Figure 9: Musculature

A: Elevator muscles –
1. Procerus
2. Levator labii alaequae nasi
3. Anomalous nasi
B: Depressor muscles –
4. Alar nasalis
5. Depressor septi nasi
C: Compressor muscles –
6. Transverse nasalis
7. Compressor narium minor
D: Minor dilator muscles –
8. Dilator naris anterior
E: Other –
9. Orbicularis oris
10. Corrugator

rhinoplasty Sewell NJ
Figure 10

Figure 10: Vasculature

1 – dorsal nasal artery
2 – lateral nasal artery
3 – angular vessels
4 – columellar artery

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RHINOPLASTY EDUCATION

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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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