Skip to main content
Log in

Geography of the nose: A morphometric study

  • Published:
Aesthetic Plastic Surgery Aims and scope Submit manuscript

Abstract

The noses of 34 attractive young North American Caucasian women were analyzed quantitatively, based on 19 nasal measurements (6 single and 7 paired linear measurements, 3 angles, and 3 inclinations) and 15 craniofacial measurements (10 linear measurements and 5 inclinations) taken directly from the face of the women. The relationship between the nasal measurements was studied in 16 proportion indices and the relationship between the nasal and the other craniofacial measurements in 13 interareal indices. The findings were also compared with those in 21 women with below-average faces. Two types of facial harmony disruption were identified:disharmony, a normal index with a visually apparent failure of proportionality, anddisproportion, an index value outside of the normal range. The percentage of disharmonies and disproportions was significantly higher in the group of 21 women with below-average faces. The study revealed a wide variety of “ideal” noses. Only a small portion of the measurements (12%) and proportion indices (7%) were at the mean value. At least two-thirds of the interareal proportion indices were located in the mean ±1 standard deviation portion of the normal range. Only about one-fifth of the interareal indices were disharmonious and 2.8% disproportionate. The disproportions were more areal in the attractive faces and more interareal in the below-average faces. The greatest disproportion in the attractive face was the moderately short columella in relation to the tip protrusion and in the below-average face the long nasal bridge related to the upper-lip height. Disproportions were associated with combinations of normal and abnormal measurements, or with two normal measurements of unequal quality, which resulted in a slightly smaller disfigurement. Analysis of ethnic and racial differences showed the soft nose as the main feature of the most characteristic differences. The study revealed that the key to restoration of facial harmony is the renewal of the uniformity of proportion index qualities by elimination disharmonies and/or disproportionate relationships.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Ashley-Montagu MF: Location of the nasion in the living. Am J Phys Anthropol20:281, 1935

    Google Scholar 

  2. de Avelar JM: Personal contribution for the surgical treatment of negroid noses. Aesth Plast Surg1:81, 1976

    Google Scholar 

  3. de Avelar JM: The Negroid nose. VIIIth Congress of the International Society of Aesthetic Plastic Surgery, Madrid, Spain, (abstract) September 1985 p 51

  4. Baroudi R, Keppke EM, da Silveira Carvalho CG: The square chin and the pointed chin: another refinement in facial aesthetics. Aesth Plast Surg3:129, 1979

    Google Scholar 

  5. Baud C: Harmonie du visage, 3rd ed. La Chaux de Fondes (Suisse): Clinique de la Tour, 1974

  6. Baud CA: Geometrie der Schönheit in Harmonie der Gesichtszüge, Basel: Karger, 1982, pp 263–270

    Google Scholar 

  7. Beekhuis GJ: Saddle nose deformity: etiology, prevention, and treatment; augmentation rhinoplasty with polyamide. Laryngoscope84:2, 1974

    PubMed  Google Scholar 

  8. Beheri GE: Rhinoplasty in Egyptians. Aesth Plast Surg8:145, 1984

    Google Scholar 

  9. Belinfante LS: Total treatment planning for esthetic problems of the face: a team approach. J Oral Surg37:178, 1979

    PubMed  Google Scholar 

  10. Berndorfer A: Aesthetic surgery as organopsychic therapy. Aesth Plast Surg 3:143, 1979

    Google Scholar 

  11. Bernstein L: Esthetics in rhinoplasty. Otolaryngol Clin North Am8:705, 1975

    PubMed  Google Scholar 

  12. Broadbent TR, Mathews VL: Artistic relationships in surface anatomy of the face: application to reconstructive surgery. Plast Reconstr Surg20:1, 1957

    PubMed  Google Scholar 

  13. Broadbent TR, Woolf RM: Anatomy of a rhinoplasty-saw technique. In Masters FW, Lewis JR Jr, eds. Symposium on Aesthetic Surgery of the Nose, Ears, and Chin. St. Louis: C.V. Mosby, 1973, Vol 6, pp 20–29

    Google Scholar 

  14. Burstone CJ: The integumental profile. Am J Orthod44:1, 1958

    Google Scholar 

  15. Coiffman F: External incisions on the nose. Aesth Plast Surg1:363, 1978

    Google Scholar 

  16. Converse JM: Corrective rhinoplasty. In Reconstructive Plastic Surgery, 2nd ed. Philadelphia: W.B. Saunders, 1977, Vol 2, pp 1040–1163

    Google Scholar 

  17. Coon CS: The Races of Europe. New York: Mac-Millan, 1939

    Google Scholar 

  18. Cottle MJ: Corrective Surgery. Nasal septum and external pyramid. Study notes and laboratory manual. Chicago: American Rhinologic Society, 1960

    Google Scholar 

  19. Daniel RK, Lessard M-L: Rhinoplasty: a graded aesthetic-anatomical approach. Ann Plast Surg13:436, 1984

    Google Scholar 

  20. Deniker J: The Races of Man: Outline of Anthropology and Ethnography. New York: Ayer Co., 1990

    Google Scholar 

  21. D'Ottaviano N, Baroudi R: Surgical and esthetic aspects of the facial profile. Int J Oral Surg3:243, 1974

    PubMed  Google Scholar 

  22. Dzierżykraj-Rogalski T, Modrzewska K: Basic Anthropology for Medical Student. Warszawa: State Publishing House of Medical Literature, 1955 (in Polish)

    Google Scholar 

  23. Edgerton MT, Lewis CM, McKnelly LO: Lengthening of the short nasal columella by skin flaps from the nasal tip and dorsum. Plast Reconstr Surg40:343, 1967

    PubMed  Google Scholar 

  24. Eickstedt E von: Rassenkunde und Rassengeschichte der Menschheit. Stuttgart, 1934

  25. Fahoun K: Aesthetic aspects of nose shape evaluation. Acta Chir Plast (Prague)23:163, 1981

    Google Scholar 

  26. Falces E, Wesser D, Gorney M: Cosmetic surgery of the non-Caucasian nose. Plast Reconstr Surg45:317, 1970

    PubMed  Google Scholar 

  27. Farina R, Cury E, Ackel IA: The prominent nasal tip. Aesth Plast Surg8:141, 1984

    Google Scholar 

  28. Farkas LG, Lindsay WK: The columella in cleft lip and palate anomaly. In Hueston JT, ed. Transactions of the Fifth International Congress of Plastic and Reconstructive Surgery, 22–26 February·1971. Melbourne, Australia: Butterworths, 1971, pp 373–381

    Google Scholar 

  29. Farkas LG, Bryson W, Klotz J: Is photogrammetry of the face reliable? Plast Reconstr Surg66:346, 1980

    PubMed  Google Scholar 

  30. Farkas LG: Anthropometry of the Head and Face in Medicine. New York: Elsevier, 1981

    Google Scholar 

  31. Farkas LG, Hreczko TA, Deutsch CK: Objective assessment of standard nostril types-a morphometric study. Ann Plast Surg11:381, 1983

    PubMed  Google Scholar 

  32. Farkas LG, Deutsch CK, Hreczko TA: Asymmetries in nostrils and the surrounding tissues of the soft nose-a morphometric study. Ann Plast Surg12:10, 1984

    PubMed  Google Scholar 

  33. Farkas LG, Katic MJ, Kolar J, Munro IR: The adult facial profile: relationships between the inclinations of its segments. Dtsch Z Mund Kiefer Ges Chir8:182, 1984

    Google Scholar 

  34. Farkas LG, Hreczko TA, Kolar JC, Munro IR: Vertical and horizontal proportions of the face in young adult North American Caucasians: revision of neoclassical canons. Plast Reconstr Surg75:328, 1985

    PubMed  Google Scholar 

  35. Farkas LG, Kolar JC, Munro IR: Craniofacial disproportions in Apert's syndrome: an anthropometric study. Cleft Palate J22:253, 1985

    PubMed  Google Scholar 

  36. Farkas LG, Kolar JC, Munro IR: Geography of the nose in an attractive face: a morphometric study. VIIIth Congress of the International Society of Aesthetic Plastic Surgery, Madrid, Spain, September 1985, p 36 (abstract)

  37. Farkas LG, Sohm P, Kolar JC, Katic MJ, Munro IR: Inclinations of the facial profile: art versus reality. Plast Reconstr Surg75:509, 1985

    PubMed  Google Scholar 

  38. Farkas LG, Munro IR, Kolar JC: Linear proportions in above- and below-average women's faces. In Farkas LG, Munro IR, eds. Anthropometric Facial Proportions in Medicine. Springfield, IL: C.C. Thomas, 1986 (in press)

    Google Scholar 

  39. Farkas LG, Munro IR: Anthropometric Facial Proportions in Medicine. Springfield, IL: C.C. Thomas, 1986 (in press)

    Google Scholar 

  40. Fontana AM, Muti E: The nasofrontal angle and profile in rhinoplasty: case presentations. Aesth Plast Surg7:169, 1983

    Google Scholar 

  41. Furukawa M: Proportions of the nose and changes with age in Orientals. VIIIth Congress of the International Society of Aesthetic Plastic Surgery, Madrid, Spain, September 1985, p 38 (abstract)

  42. Gelbke H: The nostril problem in unilateral harelips and its surgical management. Plast Reconstr Surg18:65, 1956

    PubMed  Google Scholar 

  43. Ghyka MC: The Geometry of Art and Life. New York: Sheed & Ward, 1946

    Google Scholar 

  44. Gillies HD, Millard DR Jr: The principles and art of plastic·surgery. Boston: Little, Brown & Co., 1957

    Google Scholar 

  45. Godycki M: Basic Anthropometry. Warszawa: State Publishing House, 1956 (in Polish)

    Google Scholar 

  46. González-Ulloa M: Quantitative principles in cosmetic surgery of the face (profileplasty). Plast Reconstr Surg29:186, 1962

    PubMed  Google Scholar 

  47. González-Ulloa M: A quantum method for the appreciation of the morphology of the face. Plast Reconstr Surg34:241, 1964

    PubMed  Google Scholar 

  48. González-Ulloa M: The fat nose. Aesth Plast Surg8:135, 1984

    Google Scholar 

  49. Hajniš K, Farkas LG: Proposición del examen antropólogico de fisuras de labio (labio leporino), de maxilar y de paladar. Rev Lat Am Cir Plast8:194, 1964

    Google Scholar 

  50. Hajniš K, Farkas LG: Anthropological record for congenital developmental defects of the face (especially clefts). Acta Chir Plast (Prague)11:261, 1969

    Google Scholar 

  51. Hajniš K: Das Verhältnis der Kopfhauptindexe und Dimensionen als Ausgangspunkt der Bestimmung der anthropologischen Type. Acta Fac Rerum Nat Univ Comen Anthropol23:107, 1976

    Google Scholar 

  52. Hinderer UT: Relationship between the protrusion of the nasal tip and the dorsum in rhinoplasty. Aesth Plast Surg8:201, 1984

    Google Scholar 

  53. Hooton EA: Up From the Ape (rev ed). New York: MacMillan, 1947

    Google Scholar 

  54. Hoyer C, Aybar L: Non Caucasian nose, extra rigidity to the lower lateral cartilage. VIIIth Congress of the International Society of Aesthetic Plastic Surgery, Madrid, Spain, September 1985, p 66 (abstract)

  55. Hrdlička A: Anthropometry. Philadelphia: Wistar Institute, 1920

    Google Scholar 

  56. Jackson IT, Munro IR, Salyer KE, Whitaker LA, eds.: Atlas of Craniomaxillofacial Surgery. St. Louis: C.V. Mosby, 1982

    Google Scholar 

  57. Joseph J: Nasenplastik und sonstige Gesichtsplastik nebst einem Anhang über Mammaplastik und einige weitere Operationen aus dem Gebiete der äusseren Körperplastik. Ein Atlas und Lehrbuch, Leipzig: Verlag von Curt Kabitzsch, 1931

    Google Scholar 

  58. Kolar JC, Farkas LG, Munro IR: Surface morphology in Treacher Collins syndrome: an anthropometric study. Cleft Palate J22:266, 1985

    PubMed  Google Scholar 

  59. Kolar JC: Ethnic differences in facial proportions. In Farkas LG, Munro IR, eds. Anthropometric Facial Proportions in Medicine. Springfield, IL: C.C. Thomas, 1986 (in press)

    Google Scholar 

  60. Kroeber AL: Anthropology: Biology and Race. New York: Harcourt, Brace and World, Inc., 1963

    Google Scholar 

  61. Krugman ME, Lopez R, McKenzie P: Facial series of photographs as viewed by the plastic surgeon with special emphasis on the nose. J Biol Photogr Assoc47:201, 1979

    PubMed  Google Scholar 

  62. Lavater JC: Essai sur la physiognomonie. La Haye: 1783, Tome I, p 262

    Google Scholar 

  63. Lee L, Lee K-J: A study of facial proportions and sketching of facial contours. Ear Nose Throat J58:150, 1979

    PubMed  Google Scholar 

  64. LeRoy Straith C: Elongation of the nasal columella. Plast Reconstr Surg1:79, 1946

    Google Scholar 

  65. Lessard M-L, Daniel RK: Surgical anatomy of septorhinoplasty. Arch Otolaryngol111:25, 1985

    PubMed  Google Scholar 

  66. Lines PA, Lines RR, Lines CA: Profilometrics and facial esthetics. Am J Orthod73:648, 1978

    PubMed  Google Scholar 

  67. Macgregor FC: The place of the patient in society. Aesth Plast Surg5:19, 1981

    Google Scholar 

  68. Maes J, Li CS, Shaw DT: Alar base-wedge excisions: partial excision of the alae nasi-base of the nostrils. Aesth Plast Surg3:271, 1979

    Google Scholar 

  69. Mahler D, Moses S, Last U: A measuring scale for objective evaluation of the nasal shape. Aesth Plast Surg7:223, 1983

    Google Scholar 

  70. Marcks KM, Trevaskis AE, Payne MJ: Elongation of columella by flap transfer and z-plasty. Plast Reconstr Surg20:466, 1957

    PubMed  Google Scholar 

  71. Martin R: Lehrbuch der Anthropologie in systematischer Darstellung mit besonderen Berücksichtigung der anthropologischen Methoden, 2nd ed. Jena: G. Fischer, 1928, Vol 1

    Google Scholar 

  72. Matory WE Jr, Falces E: Non-Caucasian rhinoplasty: a 16-year experience. Plast Reconstr Surg77:239, 1986

    PubMed  Google Scholar 

  73. Micheli-Pellegrini V, Manfrida GM: Rhinoplasty and its psychological implications: applied psychology observations in aesthetic surgery. Aesth Plast Surg3:299, 1979

    Google Scholar 

  74. Mikulicz J: Zur Bildung der hatigen Nasenscheidewand. Langenbecks Arch Klin Chir30:113, 1884

    Google Scholar 

  75. Millard DR: The triad of columella deformities. Plast Reconstr Surg31:370, 1963

    Google Scholar 

  76. Millard DR Jr: Problem cases in rhinoplasty. In Masters FW, Lewis JR, eds. Symposium on Aesthetic Surgery of the Nose, Ears, and Chin. St. Louis: C.V. Mosby, 1973, Vol 6, pp 45–49

    Google Scholar 

  77. Muzj E: The method for orthodontic diagnosis based upon the principles of morphologic and therapeutic relativity. Angle Orthod9:123, 1939

    Google Scholar 

  78. Muzj E: An investigation of the facial profile and new diagnostic methods. Dent Rec June:164, 1949

  79. Muzj E: Biometric correlations among organs of the facial profile. A possible solution to the present crisis in orthodontics. Am J Orthod42:827, 1956

    Google Scholar 

  80. Muzj E: Oro-facial anthropometrics. Hempstead, NY: Index Publishers Corporation, 1970

    Google Scholar 

  81. Muzj E: The human face. A casual evolution or a genetic program? Responsabilità del sapere. Rome: Centro di comparazione e sintesi, 1979

    Google Scholar 

  82. Muzj E: Musical and architectural proportions in the anatomy of the facial system. An anthropometric approach. Angle Orthod52:177, 1982

    PubMed  Google Scholar 

  83. Neger M: A quantitative method for evaluation of the soft-tissue facial profile. Am J Orthod45:738, 1959

    Google Scholar 

  84. Olivier G: Practical Anthropology. Springfield, IL: C.C. Thomas, 1969 (translated by MA MacConaill)

    Google Scholar 

  85. Onizuka T, Itoh Y, Nakamura K: Procedures for repair of the cleft lip nose. Aesth Plast Surg7:179, 1983

    Google Scholar 

  86. Onizuka T, Iwanami M: Blepharoplasty in Japan. Aesth Plast Surg8:97, 1984

    Google Scholar 

  87. Parkes ML, Kamer FM: The mature nose. Laryngoscope83:157, 1973

    PubMed  Google Scholar 

  88. Patterson CN: Surgery of the aging nose. In Sisson GA, Tardy ME Jr, eds. Plastic and Reconstructive Surgery of the Face and Neck. Proc 2nd Int Symp, Vol. I, Aesth Surg. New York: Grune & Stratton, 1977, p 20

    Google Scholar 

  89. Patterson CN, Powell DG: Facial analysis in patient evaluation for physiologic and cosmetic surgery. In Sisson GA, Tardy ME, Jr, eds. Plastic and Reconstructive Surgery of the Face and Neck, Proc 2nd Int Symp, Vol. I, Aesth Surg. New York: Grune & Stratton, 1977, p 146

    Google Scholar 

  90. Pech A, Cannoni M, Abdul S, Gitenet P, Zanaret M, Thomassin J-M: Les aspects pratiques de la profiloplastie. Rev Laryngol99:39, 1978

    Google Scholar 

  91. Peck H, Peck S: A concept of facial esthetics. Angle Orthod40:284, 1970

    PubMed  Google Scholar 

  92. Peck GC: Surgery of the nasal tip. In Masters FW, Lewis JR, Jr, eds. Symposium on Aesthetic Surgery of the Nose, Ears, and Chin. St. Louis: C.V. Mosby, 1973, pp 36–42

    Google Scholar 

  93. Pešková H, Fára M: Lengthening of the columella in bilateral cleft. Acta Chir Plast2:18, 1960

    PubMed  Google Scholar 

  94. Reich J: Aesthetic judgment in the surgery appearance. Aesth Plast Surg1:35, 1976

    Google Scholar 

  95. Reich J: The evolution of thought concerning the justification of aesthetic plastic surgery. Aesth Plast Surg2:183, 1978

    Google Scholar 

  96. Ripley WZ: The Races of Europe: a Sociological Study. New York: Appleton, 1899

    Google Scholar 

  97. Robin JL: The preplanned rhinoplasty. Aesth Plast Surg3:719, 1979

    Google Scholar 

  98. Rogers BO: The role of physical anthropology in plastic surgery today. Clin Plast Surg1:439, 1974

    PubMed  Google Scholar 

  99. Safian J: A critical review of recent literature on rhinoplasty. Plast Reconstr Surg2:463, 1947

    Google Scholar 

  100. Salinger S: Reconstruction of the columella. Plast Reconstr Surg2:87, 1947

    Google Scholar 

  101. Sanchez AE: Rhinoplasty in the “Chata” nose of Caribbean. Aesth Plast Surg4:169, 1980

    Google Scholar 

  102. Seghers MJ, Longacre JJ, DeStefano GA: The golden proportion and beauty. Plast Reconstr Surg34:382, 1964

    Google Scholar 

  103. Sherlock EC: Anatomy of the nose and septum. In Masters FW, Lewis JR, Jr, eds. Symposium on Aesthetic Surgery of the Nose, Ears, and Chin. St. Louis. C.V. Mosby, 1973, Vol 6, pp 8–11

    Google Scholar 

  104. Sinclair PM: The divine proportion. Am J Orthod82:166, 1982

    Google Scholar 

  105. Skiles MS, Randall P: The aesthetics of ear placement: an experimental study. Plast Reconstr Surg72:133, 1983

    PubMed  Google Scholar 

  106. Stoksted P, Gutierrez C: Facial morphology applied to rhinologic surgery. J Laryngol Otol15:693, 1981

    Google Scholar 

  107. Stoner MM: A photometric analysis of the facial profile. Am J Orthod41:453, 1955

    Google Scholar 

  108. Sushner NJ: A photographic study of the soft-tissue profile of the Negro population. Am J Orthod72:373, 1977

    PubMed  Google Scholar 

  109. Topinard P: Eléments d'Anthropologie générale. Paris: A Delahaye et E LaCrosnier, 1885

    Google Scholar 

  110. Walter C: Aesthetische Chirurgie der Nase. In Gohbandt E, Gabka J, Berndorfer A, eds. Handbuch der Plastischen Chirurgie. Beitrag 34, Berlin: Walter De Gruyter & Co., 1966, Vol 2

    Google Scholar 

  111. Webster RC: Advances in surgery of the tip: intact rim cartilage techniques and the tip-columella-lip esthetic complex. Otolaryngol Clin North Am8:615, 1975

    PubMed  Google Scholar 

  112. Webster RC: Revisional rhinoplasty. Otolaryngol Clin North Am8:753, 1975

    PubMed  Google Scholar 

  113. Webster RC, Smith RC, Kazda G: Columella-labial changes in solution of rhinoplastic problems. Laryngoscope95:629, 1985

    PubMed  Google Scholar 

  114. Weninger J: Leitlinien zur Beobachtung der somatischen Merkmale des Kopfes und Gesichtes am Menschen. Mitt Anthropol Ges Wien54:232, 1924

    Google Scholar 

  115. Wissner G: Alterveränderungen von Gesichts-und Ohrmerkmalen. Anthrop Anz32:157, 1970

    Google Scholar 

  116. Wright AM: Facial proportions in medical illustration. In Farkas LG, Munro IR, eds. Anthropometric Facial Proportions in Medicine. Springfield, IL: C.C. Thomas, 1986 (in press)

    Google Scholar 

  117. Wright WK: Surgery of the bony and cartilaginous dorsum. Otolaryngol Clin North Am8:575, 1975

    PubMed  Google Scholar 

  118. Wylie WL: The assessment of anteroposterior dysplasia. Angle Orthod17:97, 1947

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Presented in part to the VIIIth Congress of the International Society of Aesthetic Plastic Surgery, Madrid, September 17, 1985

Rights and permissions

Reprints and permissions

About this article

Cite this article

Farkas, L.G., Kolar, J.C. & Munro, I.R. Geography of the nose: A morphometric study. Aesth. Plast. Surg. 10, 191–223 (1986). https://doi.org/10.1007/BF01575292

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01575292

Key words

Navigation