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Which Lighting Option Is the Best for Photography in Rhinoplasty?
Photography for preoperative analysis and follow-up is indispensable for the facial plastic surgeon. The use of strobe flash units, light-emitting diode (LED) lamps, and their position related to axis of the patient can affect the nasal contours and nasal measurements. The aim of this study was to compare the rhinoplasty pictures taken under three different lighting settings and two different positioning at 30- and 45-degree angles, and with direct measurements taken by caliper from the subjects. Standardized rhinoplasty pictures from 10 patients were taken in frontal view in a studio. These pictures were taken under three different lighting settings: built-in flash of the camera, two strobe flashes, and two LED continuous lights placed at 30 to 45 degree angles to the patient. All the pictures were uploaded to Rhinobase 2.0. In five subjects, direct measurements were done by using a Vernier caliper and compared with the computer measurements. In this study, when comparing the light sources and the angles without taking single flash into account, no relation was found between strobe lights at 30 and 45 degrees and between LED lights at 30 and 45 degrees regarding tip width, base bony width, dorsum width, interalar width, and nasal length. However, a statistically significant difference was found when the angle was changed from 30 to 45 degrees for tip width, interalar width and nasal length. The use of two LED continuous lights or two strobe lights in a studio setting has given similar results. Changing the angles of the light sources from 30 to 45 degrees affected only the tip width and the interalar width; otherwise the rest of the nasal measurements did not show any significant changes. The pictures taken at 45-degree angles to the subject showed the closest values to the direct measurements done on the patient
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* These authors contributed equally to this work and are considered to be co-first authors.
19 March 2021 (online)
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- 1 Becker DG, Tardy Jr ME. Standardized photography in facial plastic surgery: pearls and pitfalls. Facial Plast Surg 1999; 15 (02) 93-99
- 2 Tardy ME, Brown R. Principles of Photography in Facial Plastic Surgery. New York: Thieme Medical Publishers; 1992
- 3 Henderson JL, Larrabee Jr WF, Krieger BD. Photographic standards for facial plastic surgery. Arch Facial Plast Surg 2005; 7 (05) 331-333
- 4 Apaydin F, Akyildiz S, Hecht DA, Toriumi DM. Rhinobase: a comprehensive database, facial analysis, and picture-archiving software for rhinoplasty. Arch Facial Plast Surg 2009; 11 (03) 209-211
- 5 Persichetti P, Simone P, Langella M, Marangi GF, Carusi C. Digital photography in plastic surgery: how to achieve reasonable standardization outside a photographic studio. Aesthetic Plast Surg 2007; 31 (02) 194-200
- 6 Meneghini F, Biondi P. Chapter 2: Lighting Techniques for Clinical Facial Photography. In Meneghini F: Clinical Facial Analysis: Elements, Principles, and Techniques. Second Edition. Berlin, Heidelberg: Springer Link; 2012: 9-15
- 7 Galdino GM, DaSilva MM D, Gunter JP. Digital photography for rhinoplasty. Plast Reconstr Surg 2002; 109 (04) 1421-1434
- 8 Dölen UC, Çınar S. Perfect lighting for facial photography in aesthetic surgery: ring light. Aesthetic Plast Surg 2016; 40 (02) 319-326
- 9 Archibald DJ, Carlson ML, Friedman O. Pitfalls of nonstandardized photography. Facial Plast Surg Clin North Am 2010; 18 (02) 253-266
- 10 Swamy RS, Sykes JM, Most SP. Principles of photography in rhinoplasty for the digital photographer. Clin Plast Surg 2010; 37 (02) 213-221
- 11 Schwartz MS, Tardy Jr ME. Standardized photodocumentation in facial plastic surgery. Facial Plast Surg 1990; 7 (01) 1-12
- 12 Daniel RK, Hodgson J, Lambros VS. Rhinoplasty: the light reflexes. Plast Reconstr Surg 1990; 85 (06) 859-866 , discussion 867–868
- 13 Strub B, Mende K, Meuli-Simmen C, Bessler S. The frontal view of the nose: lighting effects and photographic bias. Aesthet Surg J 2015; 35 (05) 524-532