12. Anatomy of the Nose for Rhinoplasty Explained by Dr. Ruslan Zhuravsky

Understanding nasal anatomy is an important first step for anyone considering rhinoplasty. In this video, Dr. Ruslan Zhuravsky, a board-certified facial plastic surgeon and rhinoplasty specialist at Dr.ZFace Plastic Surgery, explains the key structural components of the nose and how they impact both appearance and surgical planning. The nose can be divided into three segments: the upper, middle, and lower third. The upper one-third consists primarily of the nasal bones, which come together to form a pyramid-like structure that supports the bridge of the nose. The middle third is composed of the upper lateral cartilages, which connect to the nasal septum and contribute to both structure and breathing function. The septum itself is a central support wall inside the nose that provides stability to both the middle and lower thirds. The lower third represents the nasal tip and is formed by the lower lateral cartilages, which play a major role in nasal tip shape, projection, and rotation. In this video, we review common nasal structures as well as ideal anatomical relationships used in structural rhinoplasty. However, it’s important to understand that nasal anatomy can vary greatly from person to person, which is why individualized surgical planning is essential for achieving natural-looking rhinoplasty results. At Dr.ZFace Plastic Surgery in Aventura, Miami, Boca Raton, and South Florida, we specialize in primary rhinoplasty, revision rhinoplasty, and awake rhinoplasty procedures tailored to each patient’s anatomy and aesthetic goals. Video Timestamps 0:00 – Why a simplified diagram is better than real surgery footage for most patients. 0:16 – Visualizing the skin-covered nose: Bridge, tip, and nostrils. 0:42 – The Nasal Bones: The rigid, pyramid-like foundation of the upper nose. 0:54 – Upper Lateral Cartilages: Identifying the transition point from bone to flexible tissue. 1:30 – The Septum: Understanding its role as a perpendicular support wall and a source for grafts. 2:20 – Lower Lateral Cartilages: Breaking down the "M" shape into the medial, intermediate, and lateral crus. 2:55 – Defining the Nasal Tip: How the dome crus creates the final aesthetic shape. 3:28 – Summary of the essential nasal framework for rhinoplasty. Dr. Ruslan Zhuravsky Double Board Certified Facial Plastic Surgeon Aventura, FL [email protected] www.ZFacePlasticSurgery.com @drzface IG and TIKTOK