Anatomie der Nase
The nose consists of a soft tissue envelope, bony and cartilaginous parts.
- The bony part is partially formed by the upper jaw (maxilla) and the nasal bone.
- The cartilaginous part is a bit more complex. The cartilaginous nasal septum is in the center of the nose. Upper and lower lateral cartilage contribute to the shape of the outer nose. For better understanding, the nose can be divided into three sections: the upper, middle and lower third of the nose. In order to achieve the wanted form and function of the nose, these thirds are, depending on the patient’s needs, surgically addressed.
The Skin type
During the preoperative examination the skin type can be evaluated by inspecting and scanning the skin.
Extremely thick skin that has a lot of sebaceous glands and subcutaneous tissue sets boundaries for the surgeon regarding the smallest refinements of the postoperative form of the nose. However, subtle irregularities of the bone or the cartilage – underneath a thick skin – are not really visible after the surgery.
Extremely thin skin, though, with freckles, that is almost translucent, poses a challenge for the surgeon. Even though thin skin, which has sparse subcutaneous tissue, is ideal for achieving a precisely defined form, thin skin also does not offer any cushion, which is necessary to cover even the smallest irregularities of the bone or imperfections of the contour of the nasal bridge. Here, a nearly perfect operation is necessary to achieve the desired natural surgical results.