ArticleMaxillofacial plastic and reconstructive surgery2026
Preoperative anthropometric assessment of nasal aesthetic parameters in iranian rhinoplasty candidates: deviation from conventional normative standards.
Article in Maxillofacial plastic and reconstructive surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundConventional nasal anthropometric norms are widely used in aesthetic analysis; however, their applicability across different populations remains uncertain. This study aimed to perform a preoperative anthropometric assessment of nasal aesthetic parameters in rhinoplasty candidates and to describe the frequency and pattern of deviations from conventional normative criteria.
methodsIn this retrospective descriptive cross-sectional study, preoperative facial photographs of 60 rhinoplasty candidates from private oral and maxillofacial surgery clinics and Imam Khomeini Hospital in Ahvaz, Iran, were evaluated. Preoperative profile and frontal facial photographs meeting predefined quality and positioning criteria were analyzed. Nasal aesthetic parameters were classified as within or outside predefined conventional criteria. Findings were summarized using frequencies, percentages, and exact 95% binomial confidence intervals for the proportions of findings outside the conventional criteria.
resultsThe study included 60 rhinoplasty candidates, comprising 32 males (53.3%) and 28 females (46.7%). The most frequent findings outside the conventional criteria were anterior-posterior radix position in 57 patients (95.0%), tip projection in 56 (93.3%), nasofrontal angle in 55 (91.7%), dorsal hump in 54 (90.0%), and alar base width in 47 (78.3%). Vertical radix position, nasolabial angle, and columellar show had relatively balanced distributions within and outside the conventional criteria. The supratip/infratip break criterion was not met in 8 patients (13.3%), and nasal dorsal deviation was present in 11 patients (18.3%).
conclusionThe findings support the use of anthropometric assessment as a descriptive component of surgical planning, while emphasizing that conventional standards should not be used as the sole determinants of aesthetic suitability. Preoperative evaluation should integrate objective nasal assessment with each patient's individual goals and cultural preferences.
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