Golden profilography: Nasal and facial aesthetic proportions

Abstract

Background and objective. Evaluation of nasal and facial aesthetics should be carried out when planning a rhinoplasty, especially of a side profile view that can be obtained through anthropometric measurements of photogrammetry and radiological cephalometry. Anyway, the resultant diagnosis will be done comparing established parameters. These inconvenience led to the development of the Golden Profilography, which aims to perform an aesthetic evaluation of the patient’s facial profile trough direct measurements obtained from their own profile, without comparing with standardized patterns. Methods. Golden Profilography consists of a vertical facial profile drawn of esthetic proportions obtained from a picture of the patient’s facial profile, enlarged to real size to obtain the equivalent measure to the vertical nasal axis divided by the golden section (between 1.618), and independently of the picture, the planes, angles and inclinations that serve as guides to compare the measurements of both profiles in order to obtain the similarity or morphological difference of the patient’s facial profile without resorting to other comparative patterns. Results. Using Golden Profilography, an aesthetic evaluation study was conducted on 18 patients candidates for rhinoplasty motivated by having a large nose. Both nasal and chin projection were measured; the general result was a minor projection than the aurea one. The projection of the chin presented a shortening in all cases, mostly with micrognathia and in fewer cases with microgenia, which translates into an aesthetic disproportion and lack of harmony between the upper and lower half facial sides. This conditions a convex facial profile giving a false impression of a larger nose. We found in the literature similar findings, measurements and equalities obtained by other means, especially with the one referred by Farkas conducted in attractive women. Conclusions. Golden Profilography is an objective method of morphological diagnosis that allows evaluating the aesthetic correspondence of the facial profile of the patient obtained and compared from the patient itself. So, we can conclude that each human being has its own formula to obtain its own facial morphological diagnosis.