Aesthetic Plastic Surgery

, Volume 43, Issue 4, pp 1028–1033 | Cite as

Objective Assessment of Nose Tip Light Reflections in Rhinoplasty

  • Arın ÖztürkEmail author
  • Tevfik Sözen
  • Halil Bülent Karcı
  • Sercan Göde
Original Article Rhinoplasty



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.


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.


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.


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


Facets Light reflections Nasal tip Rhinoplasty Soft triangle 


Compliance with Ethical Standards

Conflict of interest

None of the authors has declared any conflict of interest (financial or non-financial) from being named as an author on the manuscript.

Ethical Approval

All procedures performed in the study were in concordance with the ethical standards of the institutional and/or national research committee and the Declaration of Helsinki in 1964 and its subsequent amendments or comparable ethical standards.

Informed Consent

Informed consent was obtained from all individual participants included in the study.


  1. 1.
    Çakır B, Dogan T, Öreroğlu AR, Daniel RK (2013) Rhinoplasty: surface aesthetics and surgical techniques. Aesthet Surg J 33(3):363–375CrossRefGoogle Scholar
  2. 2.
    Toriumi DM (2006) New concepts in nasal tip contouring. Arch Facial Plast Surg 8(3):156–185CrossRefGoogle Scholar
  3. 3.
    Çakır B, Öreroğlu AR, Daniel RK (2016) Surface aesthetics and analysis. Clin Plast Surg 43(1):1–15CrossRefGoogle Scholar
  4. 4.
    Lekakis G, Claes P, Hamilton GS III, Hellings PW (2016) Three-dimensional surface imaging and the continuous evolution of preoperative and postoperative assessment in rhinoplasty. Facial Plast Surg 32(01):088–094CrossRefGoogle Scholar
  5. 5.
    Moubayed SP, Ioannidis JP, Saltychev M, Most SP (2018) The 10-item Standardized Cosmesis and Health Nasal Outcomes Survey (SCHNOS) for functional and cosmetic rhinoplasty. JAMA. Facial Plast Surg 20(1):37–42CrossRefGoogle Scholar
  6. 6.
    Kovacevic M, Wurm J (2014) Cranial tip suture in nasal tip contouring. Facial Plast Surg 30(06):681–687CrossRefGoogle Scholar
  7. 7.
    Gruber RP, Weintraub J, Pomerantz J (2008) Suture techniques for the nasal tip. Aesthet Surg J 28(1):92–100CrossRefGoogle Scholar
  8. 8.
    Campbell CF, Pezeshk RA, Basci DS, Scheuer JF, Sieber DA, Rohrich RJ (2017) Preventing soft-tissue triangle collapse in modern rhinoplasty. Plast Reconstr Surg 140(1):33e–42eCrossRefGoogle Scholar
  9. 9.
    Nguyen DQA, Motley R, Cooper MA (2008) Repair of nasal soft triangle notching. J Plast Reconstr Aesthet Surg 61(8):966–968CrossRefGoogle Scholar
  10. 10.
    Gunter JP, Friedman RM (1997) Lateral crural strut graft: technique and clinical applications in rhinoplasty. Plast Reconstr Surg 99(4):943–952CrossRefGoogle Scholar
  11. 11.
    Burget G (2013) Discussion: reconstruction of the nasal soft triangle subunit. Plast Reconstr Surg 131:1051–1054CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature and International Society of Aesthetic Plastic Surgery 2019

Authors and Affiliations

  1. 1.Otolaryngology DepartmentEge University School of MedicineBornova, IzmirTurkey
  2. 2.Otolaryngology DepartmentHacettepe University School of MedicineAnkaraTurkey

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