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General
Skin quality: integrity, vascularity, mobility, skin thickness (thin, medium, or thick)
Identify primary concerns leading patient to seek rhinoplasty (eg, "big," "twisted," "large hump")
Frontal view
Twisted or straight: follow brow-tip esthetic lines Width: narrow, wide, normal, "wide-narrow-wide" Tip: deviated, bulbous, asymmetric, amorphous, other
Baseview
Triangularity: good versus trapezoidal
Tip: deviated, wide, bulbous, bifid, asymmetric
Base: wide, narrow, or normal; inspect for caudal septal deflection
Columella: columellar-to-lobule ratio (normal is 2:1 ratio); status of medial crural footplates
Lateralview
Nasofrontal angle: shallow or deep
Nasal starting point: high or low
Dorsum: straight, concavity, or convexitydbony, bony-cartilaginous or cartilaginous (ie, is convexity primarily bony, cartilaginous, or both)
Nasal length: normal, short, long
Tip projection: normal, decreased, or increased
Alar-columellar relationship: normal or abnormal
Nasolabial angle: obtuse or acute
Obliqueview
Does it add anything, or does it confirm the other views
There are many other points of analysis that can be made on each view, but these are some of the vital points of commentary.
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