Facial Plast Surg 2024; 40(01): 093-100
DOI: 10.1055/a-2098-6366
Original Research

The Fish Bone Technique: An Innovative Approach for the Bony Nasal Pyramid

Lessandro Martins
1   Brazilian Association of Otorhinolaryngology and Brazilian Academy of Facial Plastic Surgery, Private Office, Sao Paulo, Parana, Brazil
,
Marina Serrato Coelho Fagundes
1   Brazilian Association of Otorhinolaryngology and Brazilian Academy of Facial Plastic Surgery, Private Office, Sao Paulo, Parana, Brazil
,
Heloisa Nardi Koener
1   Brazilian Association of Otorhinolaryngology and Brazilian Academy of Facial Plastic Surgery, Private Office, Sao Paulo, Parana, Brazil
,
Nabil Fakih-Gomez 
2   Department of Facial Plastic & Cranio-Maxillo-Facial Surgery, Fakih Hospital, Lebanon
,
Alwyn R. D'Souza
3   University Hospital Lewisham, London, United Kingdom
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Abstract

Among many contributions to the world of art and science, Renaissance artist Leonardo da Vinci created the technique known as sfumato. In this technique, da Vinci considered that the regions to be highlighted should be lit up, while the regions to be hidden should be darkened. Drawing parallel with the face, we can work on the anatomical structures underlying the skin and create a favorable surface anatomy for the entire face, including the nose. However, to achieve the ideal hourglass shape of the nose, the bones must be shaped, and a variety of osteotomies are described and used to achieve this. The new and innovative Fish Bone technique, described in this article, allows for the bony nasal pyramid to be shaped and adapted to the hourglass shape, resulting in a harmonious contour, with smooth transitions and preservation airway.

Keywords

rhinoplasty - osteotomy - nasal surface aesthetics - nasal bone - Fish Bone


Publication History

Accepted Manuscript online:
24 May 2023

Article published online:
10 July 2023

© 2023. Thieme. All rights reserved.

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