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
