Objective Assessment of Nose Tip Light Reflections in Rhinoplasty

Aesthetic Plast Surg. 2019 Aug;43(4):1028-1033. doi: 10.1007/s00266-019-01356-y. Epub 2019 Mar 22.

Abstract

Purpose: To assess the objective and subjective analysis of facet and infratip lobule in postoperative digital pictures of rhinoplasty patients and compare them with the people with good-looking noses. With the help of simple software that measures the brightness of the pixels, we investigated the relation between light reflections and patient satisfaction.

Methods: egardless of the technique, forty patients who underwent external open approach rhinoplasty were selected randomly. Twenty participants with a good-looking nose without operation history were selected as the control group. Digital Color Meter® in MacOS X® was used for measuring the brightness of the facets and infratip lobule. As a subjective outcome measure, the visual analog scale (VAS) was used and compared with brightness ratios.

Results: The mean brightness ratios and VAS of operated noses were statistically low from the control group. There was a significant positive correlation between brightness ratios and VAS in all groups.

Conclusion: Our study presents the results of a simple method of measuring the light reflections of the nose tip. Noses with a good aesthetic outcome have more symmetric and subtle facets and infratip lobule. This method was feasible, and its results were correlated with patients' aesthetic perceptions.

Level of evidence iv: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Keywords: Facets; Light reflections; Nasal tip; Rhinoplasty; Soft triangle.

MeSH terms

  • Adult
  • Case-Control Studies
  • Diagnostic Imaging / methods*
  • Esthetics
  • Female
  • Humans
  • Male
  • Middle Aged
  • Nose / anatomy & histology
  • Nose / surgery*
  • Photography / methods*
  • Preoperative Care / methods
  • Software*
  • Visual Analog Scale