Current Trends in Ideal Nasal Aesthetics Show Younger Patients Have a Preference Toward Longer Augmented Noses

Abstract Background Aesthetic norms fluctuate over time and often result in generational differences in preferred ideal nasal aesthetics. While some traditional concepts of the ideal nasal aesthetic have been suggested in our literature, there has been no study to date that has identified contempora...

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Published inAesthetic surgery journal. Open forum Vol. 5; p. ojad069
Main Authors Patel, Anmol A, Gordon, Alexandra R, Townsend, Alexandra N, Shah, Jinesh, Garfein, Evan S, Tepper, Oren M
Format Journal Article
LanguageEnglish
Published US Oxford University Press 11.01.2023
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Summary:Abstract Background Aesthetic norms fluctuate over time and often result in generational differences in preferred ideal nasal aesthetics. While some traditional concepts of the ideal nasal aesthetic have been suggested in our literature, there has been no study to date that has identified contemporary preferences across different age groups. Objectives To understand the general population's current perception of ideal nasal profiles. Methods Two-dimensional images of female noses (n = 10) of varying ethnicities were simulated to alter either the radix height or nasolabial angle (NLA) independently. Radix height was manipulated by increasing or decreasing the height by 5 mm relative to baseline. For NLA, 3 images were created with the following measurements: (1) 90°, (2) 100°, and (3) 110°. Groups were categorized by generation and age at the time of completing the study: Generation Z (Gen Z; age 18-23), Millennial 20s (age 24-30), Millennial 30s (age 31-39), and Generation X (Gen X; age 40-55). Each figure consisted of either 3 variations in radix height (n = 10) or 3 variations in NLA (n = 10). Within each figure, volunteers were asked to choose their preferred nose. Results The younger generations, Gen Z and Millennial 20s and 30s, preferred a more augmented radix compared to Gen X which preferred a baseline radix height. Gen Z, Millennial 20s, and Gen X preferred a 90° NLA, while Millennial 30s preferred an NLA of 100°. Conclusions The authors found that younger populations (Gen Z, Millennial 20s, and Millennial 30s) preferred a more augmented appearance to the nasal radix and, on average, a more acute NLA than published data suggest. Level of Evidence: 3
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Ms Townsend is a medical student, Montefiore 3D Printing and Innovation Laboratory, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Dr Garfein is a plastic surgeon in private practice in New York, NY, USA.
Dr Tepper is a plastic surgeon in private practice in New York, NY, USA, and a clinical editor for Aesthetic Surgery Journal.
Drs Patel is a residents, Montefiore 3D Printing and Innovation Laboratory, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Gordon is a residents, Montefiore 3D Printing and Innovation Laboratory, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
Dr Shah is a plastic surgeon, Montefiore 3D Printing and Innovation Laboratory, Division of Plastic and Reconstructive Surgery, Montefiore Medical Center, Albert Einstein College of Medicine, Bronx, NY, USA.
ISSN:2631-4797
2631-4797
DOI:10.1093/asjof/ojad069