An Overlooked Landmark for the Crooked Nose: Eyebrow Position
Background Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical f...
Gespeichert in:
| Veröffentlicht in: | Aesthetic plastic surgery 2020-10, Vol.44 (5), p.1718-1724 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 1724 |
|---|---|
| container_issue | 5 |
| container_start_page | 1718 |
| container_title | Aesthetic plastic surgery |
| container_volume | 44 |
| creator | Gultekin, Goknil Koycu, Alper Buyuklu, Fuat Bahcecitapar, Melike |
| description | Background
Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical facial appearance may be overlooked by surgeons.
Objective
To define the relationship between the eyebrow position and external nasal deviation in patients with a crooked nose.
Design, Setting, and Participants
Analysis was made of the preoperative and 6-month postoperative life-size photographs of female rhinoplasty patients who had been referred to the senior author’s clinic between May 2014 and June 2019. The anthropometric landmarks on the life-size photographs were identifed. The most medial points of the eyebrows and most deviated part of the nose were marked and the distance from the mid-canthal point was measured.
Main Outcomes and Measure
The direction and amount of eyebrow shift were compared with the direction and amount of nasal deviation.
Results
Of the total 94 female rhinoplasty patients with at least one level external nasal deviation, 67 (71.2%) had ipsilateral eyebrow shift with external nasal deviation. The preoperative external nasal deviation amount was 1.81 ± 1.21 mm and preoperative eyebrow shift was 1.18 ± 1.06 mm (
rS
= 0.429,
p
|
| doi_str_mv | 10.1007/s00266-020-01786-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_2407315689</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2407315689</sourcerecordid><originalsourceid>FETCH-LOGICAL-c375t-e0c424e293aafe5402a7547f6d5e219e4c5bdc339791acaf44c1155deeb941d13</originalsourceid><addsrcrecordid>eNp9kE1Lw0AQhhdRbK3-AQ8S8OIlOvuVTQQPpdQPKNaDgrdlk0w0_cjqbqu0v97VVAUPnuYwz7wz8xBySOGUAqgzD8CSJAYGMVCVJvF6i3Sp4CyWTNBt0gWeiJjR5LFD9ryfAFCmlNglHc6ETEHwLrnoN9H4Dd3M2imW0cg05dy4aVRZFy2eMRq4tnFrPZ5HwxXmzr5Hd9bXi9o2-2SnMjOPB5vaIw-Xw_vBdTwaX90M-qO44EouYoRCMIEs48ZUKAUwo6RQVVJKZDRDUci8LDjPVEZNYSohCkqlLBHzTNCS8h45aXNfnH1dol_oee0LnM1Mg3bpNROgOJVJmgX0-A86sUvXhOs0D24gTTKaBoq1VOGs9w4r_eLq8PhKU9CfcnUrVwe5-kuuXoeho030Mp9j-TPybTMAvAV8aDVP6H53_xP7Afbrg5E</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3143086918</pqid></control><display><type>article</type><title>An Overlooked Landmark for the Crooked Nose: Eyebrow Position</title><source>MEDLINE</source><source>Springer Nature - Complete Springer Journals</source><creator>Gultekin, Goknil ; Koycu, Alper ; Buyuklu, Fuat ; Bahcecitapar, Melike</creator><creatorcontrib>Gultekin, Goknil ; Koycu, Alper ; Buyuklu, Fuat ; Bahcecitapar, Melike</creatorcontrib><description>Background
Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical facial appearance may be overlooked by surgeons.
Objective
To define the relationship between the eyebrow position and external nasal deviation in patients with a crooked nose.
Design, Setting, and Participants
Analysis was made of the preoperative and 6-month postoperative life-size photographs of female rhinoplasty patients who had been referred to the senior author’s clinic between May 2014 and June 2019. The anthropometric landmarks on the life-size photographs were identifed. The most medial points of the eyebrows and most deviated part of the nose were marked and the distance from the mid-canthal point was measured.
Main Outcomes and Measure
The direction and amount of eyebrow shift were compared with the direction and amount of nasal deviation.
Results
Of the total 94 female rhinoplasty patients with at least one level external nasal deviation, 67 (71.2%) had ipsilateral eyebrow shift with external nasal deviation. The preoperative external nasal deviation amount was 1.81 ± 1.21 mm and preoperative eyebrow shift was 1.18 ± 1.06 mm (
rS
= 0.429,
p
< 0.001). The postoperative nasal deviation was 0.79 ± 0.92 mm, and the eyebrow shift was 0.54 ± 0.62 mm (
rS
= 0.570,
p
< 0.001).
Conclusion and Relevance
Patients may tend to trim their eyebrows towards the side of the external nasal deviation. After centralization of the crooked nose with rhinoplasty, asymmetric eyebrow shaping tendencies of the patients were also seen to be improved.
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
.</description><identifier>ISSN: 0364-216X</identifier><identifier>EISSN: 1432-5241</identifier><identifier>DOI: 10.1007/s00266-020-01786-z</identifier><identifier>PMID: 32458043</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Esthetics ; Eyebrows ; Female ; Humans ; Medicine ; Medicine & Public Health ; Nasal Septum - surgery ; Nose ; Nose - surgery ; Nose Deformities, Acquired - surgery ; Original Article ; Otorhinolaryngology ; Plastic Surgery ; Rhinoplasty ; Treatment Outcome</subject><ispartof>Aesthetic plastic surgery, 2020-10, Vol.44 (5), p.1718-1724</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2020</rights><rights>Copyright Springer Nature B.V. Oct 2020</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c375t-e0c424e293aafe5402a7547f6d5e219e4c5bdc339791acaf44c1155deeb941d13</citedby><cites>FETCH-LOGICAL-c375t-e0c424e293aafe5402a7547f6d5e219e4c5bdc339791acaf44c1155deeb941d13</cites><orcidid>0000-0002-9001-7812</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00266-020-01786-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00266-020-01786-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/32458043$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Gultekin, Goknil</creatorcontrib><creatorcontrib>Koycu, Alper</creatorcontrib><creatorcontrib>Buyuklu, Fuat</creatorcontrib><creatorcontrib>Bahcecitapar, Melike</creatorcontrib><title>An Overlooked Landmark for the Crooked Nose: Eyebrow Position</title><title>Aesthetic plastic surgery</title><addtitle>Aesth Plast Surg</addtitle><addtitle>Aesthetic Plast Surg</addtitle><description>Background
Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical facial appearance may be overlooked by surgeons.
Objective
To define the relationship between the eyebrow position and external nasal deviation in patients with a crooked nose.
Design, Setting, and Participants
Analysis was made of the preoperative and 6-month postoperative life-size photographs of female rhinoplasty patients who had been referred to the senior author’s clinic between May 2014 and June 2019. The anthropometric landmarks on the life-size photographs were identifed. The most medial points of the eyebrows and most deviated part of the nose were marked and the distance from the mid-canthal point was measured.
Main Outcomes and Measure
The direction and amount of eyebrow shift were compared with the direction and amount of nasal deviation.
Results
Of the total 94 female rhinoplasty patients with at least one level external nasal deviation, 67 (71.2%) had ipsilateral eyebrow shift with external nasal deviation. The preoperative external nasal deviation amount was 1.81 ± 1.21 mm and preoperative eyebrow shift was 1.18 ± 1.06 mm (
rS
= 0.429,
p
< 0.001). The postoperative nasal deviation was 0.79 ± 0.92 mm, and the eyebrow shift was 0.54 ± 0.62 mm (
rS
= 0.570,
p
< 0.001).
Conclusion and Relevance
Patients may tend to trim their eyebrows towards the side of the external nasal deviation. After centralization of the crooked nose with rhinoplasty, asymmetric eyebrow shaping tendencies of the patients were also seen to be improved.
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
.</description><subject>Esthetics</subject><subject>Eyebrows</subject><subject>Female</subject><subject>Humans</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Nasal Septum - surgery</subject><subject>Nose</subject><subject>Nose - surgery</subject><subject>Nose Deformities, Acquired - surgery</subject><subject>Original Article</subject><subject>Otorhinolaryngology</subject><subject>Plastic Surgery</subject><subject>Rhinoplasty</subject><subject>Treatment Outcome</subject><issn>0364-216X</issn><issn>1432-5241</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kE1Lw0AQhhdRbK3-AQ8S8OIlOvuVTQQPpdQPKNaDgrdlk0w0_cjqbqu0v97VVAUPnuYwz7wz8xBySOGUAqgzD8CSJAYGMVCVJvF6i3Sp4CyWTNBt0gWeiJjR5LFD9ryfAFCmlNglHc6ETEHwLrnoN9H4Dd3M2imW0cg05dy4aVRZFy2eMRq4tnFrPZ5HwxXmzr5Hd9bXi9o2-2SnMjOPB5vaIw-Xw_vBdTwaX90M-qO44EouYoRCMIEs48ZUKAUwo6RQVVJKZDRDUci8LDjPVEZNYSohCkqlLBHzTNCS8h45aXNfnH1dol_oee0LnM1Mg3bpNROgOJVJmgX0-A86sUvXhOs0D24gTTKaBoq1VOGs9w4r_eLq8PhKU9CfcnUrVwe5-kuuXoeho030Mp9j-TPybTMAvAV8aDVP6H53_xP7Afbrg5E</recordid><startdate>20201001</startdate><enddate>20201001</enddate><creator>Gultekin, Goknil</creator><creator>Koycu, Alper</creator><creator>Buyuklu, Fuat</creator><creator>Bahcecitapar, Melike</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0002-9001-7812</orcidid></search><sort><creationdate>20201001</creationdate><title>An Overlooked Landmark for the Crooked Nose: Eyebrow Position</title><author>Gultekin, Goknil ; Koycu, Alper ; Buyuklu, Fuat ; Bahcecitapar, Melike</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c375t-e0c424e293aafe5402a7547f6d5e219e4c5bdc339791acaf44c1155deeb941d13</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>Esthetics</topic><topic>Eyebrows</topic><topic>Female</topic><topic>Humans</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Nasal Septum - surgery</topic><topic>Nose</topic><topic>Nose - surgery</topic><topic>Nose Deformities, Acquired - surgery</topic><topic>Original Article</topic><topic>Otorhinolaryngology</topic><topic>Plastic Surgery</topic><topic>Rhinoplasty</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Gultekin, Goknil</creatorcontrib><creatorcontrib>Koycu, Alper</creatorcontrib><creatorcontrib>Buyuklu, Fuat</creatorcontrib><creatorcontrib>Bahcecitapar, Melike</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Aesthetic plastic surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Gultekin, Goknil</au><au>Koycu, Alper</au><au>Buyuklu, Fuat</au><au>Bahcecitapar, Melike</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>An Overlooked Landmark for the Crooked Nose: Eyebrow Position</atitle><jtitle>Aesthetic plastic surgery</jtitle><stitle>Aesth Plast Surg</stitle><addtitle>Aesthetic Plast Surg</addtitle><date>2020-10-01</date><risdate>2020</risdate><volume>44</volume><issue>5</issue><spage>1718</spage><epage>1724</epage><pages>1718-1724</pages><issn>0364-216X</issn><eissn>1432-5241</eissn><abstract>Background
Rhinoplasty is one of the most unforgiving operations in facial plastic surgery. The correction of nasal deviation in an asymmetrical face can be challenging because known facial landmarks may mislead the surgeon. Eyebrows trimmed asymmetrically in an effort to create a more symmetrical facial appearance may be overlooked by surgeons.
Objective
To define the relationship between the eyebrow position and external nasal deviation in patients with a crooked nose.
Design, Setting, and Participants
Analysis was made of the preoperative and 6-month postoperative life-size photographs of female rhinoplasty patients who had been referred to the senior author’s clinic between May 2014 and June 2019. The anthropometric landmarks on the life-size photographs were identifed. The most medial points of the eyebrows and most deviated part of the nose were marked and the distance from the mid-canthal point was measured.
Main Outcomes and Measure
The direction and amount of eyebrow shift were compared with the direction and amount of nasal deviation.
Results
Of the total 94 female rhinoplasty patients with at least one level external nasal deviation, 67 (71.2%) had ipsilateral eyebrow shift with external nasal deviation. The preoperative external nasal deviation amount was 1.81 ± 1.21 mm and preoperative eyebrow shift was 1.18 ± 1.06 mm (
rS
= 0.429,
p
< 0.001). The postoperative nasal deviation was 0.79 ± 0.92 mm, and the eyebrow shift was 0.54 ± 0.62 mm (
rS
= 0.570,
p
< 0.001).
Conclusion and Relevance
Patients may tend to trim their eyebrows towards the side of the external nasal deviation. After centralization of the crooked nose with rhinoplasty, asymmetric eyebrow shaping tendencies of the patients were also seen to be improved.
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
.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>32458043</pmid><doi>10.1007/s00266-020-01786-z</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0002-9001-7812</orcidid></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-216X |
| ispartof | Aesthetic plastic surgery, 2020-10, Vol.44 (5), p.1718-1724 |
| issn | 0364-216X 1432-5241 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_2407315689 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Esthetics Eyebrows Female Humans Medicine Medicine & Public Health Nasal Septum - surgery Nose Nose - surgery Nose Deformities, Acquired - surgery Original Article Otorhinolaryngology Plastic Surgery Rhinoplasty Treatment Outcome |
| title | An Overlooked Landmark for the Crooked Nose: Eyebrow Position |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-27T00%3A19%3A57IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=An%20Overlooked%20Landmark%20for%20the%20Crooked%20Nose:%20Eyebrow%20Position&rft.jtitle=Aesthetic%20plastic%20surgery&rft.au=Gultekin,%20Goknil&rft.date=2020-10-01&rft.volume=44&rft.issue=5&rft.spage=1718&rft.epage=1724&rft.pages=1718-1724&rft.issn=0364-216X&rft.eissn=1432-5241&rft_id=info:doi/10.1007/s00266-020-01786-z&rft_dat=%3Cproquest_cross%3E2407315689%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=3143086918&rft_id=info:pmid/32458043&rfr_iscdi=true |