wasperformed FacialSurgery.com
Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.

The Anterior Nasal Spine

This brief chapter discusses a piece of nasal anatomy called the anterior nasal spine.  The anterior nasal spine is a protrusion of bone that juts out forward from the skull at the base of the nose.  Above right, it's the little spicule of bone at the very tip of the yellow arrow.

In most noses the anterior nasal spine is quite small and is ignored during the rhinoplasty operation, but in some people it is essential to remove the anterior nasal spine in order to get the nose short enough, or to bring the nose back closer to the face, deprojecting the nose.


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The anterior nasal spine on my skull (the skull in my office, not the one in my head) isn't particularly big.  Perhaps some of it fractured off in the many years he was only a skull.  In this chapter, however, we'll be discussing anterior nasal spines that are larger than the one you see above, and what they can do to a nose.

(Use the page links, immediately below this paragraph, to navigate through the pages of this chapter.)

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All surgery depicted in this essay, except where noted, was performed by Dr. Denenberg