Beauty, especially when it comes to the nose, is all about proportion and balance. Ideally, the beautiful nose is approximately 1/5 the width of the face. In general, the width of the entire nose (nostril width) should not be wider than the distance between the eyes. In other words, the nostrils should fit between imaginary lines drawn from the inside of each eye. The width of the bridge of the nose ("dorsum"), in turn, should be about 80% of the width of the nostrils.
The width of the dorsum is influenced by the width of the nasal bones. The width of the nostrils is discussed in a separate section of the website. Click here to read about changes to the nostril width.
The nose is a complicated 3 dimensional structure. Changes to one part of the nose will change the appearance of other parts of the nose. For example, if a bump on the nose has to be reduced, it is reduced through a technique called a component reduction of the dorsum. When the dorsum is reduced, it creates a profile that is more straight. However, when the nose is viewed from the front, the nose will appear wider, since the bump on the nose was flattened.
This will create a deformed appearance of the nose if left uncorrected. To correct the flattened appearance of the nose from the front view, the nasal bones must be moved closer together. Moving the nasal bones together brings all of the structures of the nose together and results in narrowing of the width the entire nose. This restores the nose to a balanced and proportional appearance.
Moving the nasal bones closer together involves making controlled fractures of the nasal bones. This technique is called an osteotomy ("osteo" = bone, "otomy" = opening). Once completed, the osteotomy allows the nasal bones to be repositioned. The bones then heal in place.
Repositioning the nasal bones to restore the proper proprtions of the nose is essential in most patients. It is usually necessary because of the 3 dimensional complexity of the nose. To learn more, click on the video below to see Dr. Diaz perform osteotomies to reduce nasal width.
Click on the video above to see how Dr. Diaz performs narrowing of the nasal width.
The entire width of the nose, across the nostrils, should be 1/5 the width of the nose. The width of the nasal bones, and the bridge of the nose (dorsum) shoud be 80% the width of the nostrils.