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Does Miranda Kerr have a broad nose or am I biased?
I was previously chastised for describing Miranda Kerr as broad nosed. Sarah couldn’t see it and Danielle called me the most biased and pathetic judge of beauty that she had ever came across. Well, I have evidence that the bony part of Miranda Kerr’s nose would be classified as a twin deformity by plastic/cosmetic surgeons: a broad nasal dorsum and a broad nasal base. I would not personally describe her nose as deformed, but if I am biased, professional surgeons are worse.
To understand the twin bony deformities in Miranda Kerr’s nose, look at the following schematic showing the nasal bones in relation to the surrounding maxillary bones. The dorsal width is indicated by the length “x” and the ventral width or nasal base width is indicated by the length “y.”
Fig. 1. Nasal bones in yellow (left) and a schematic of the nasal bones and adjoining nasal processes of the maxillary bones.(1)
Fig. 2 shows the 4 types of bony nasal vault deformities.
Fig. 2. “Abnormalities of bony nasal vault morphology. (A) Asymmetric nasal bones. (B) Asymmetric nasal bones and asymmetric nasal process of maxilla. (C) Wide nasal bones causing excessive dorsal nasal width. (D) Wide nasal processes of maxillae causing wide bony nasal base.”(1)
The following illustrations depict deformities C and D in Fig. 2; from left to right: broad nasal base only (D), both broad nasal dorsum and broad nasal base (C and D) and broad nasal dorsum (C).
Fig. 3. Bony nasal vault deformities; shown from left: broad nasal base, broad nasal base and broad nasal dorsum, broad nasal dorsum.(2)
Watch what happens when the deformities in Fig. 3 are corrected:
Fig 4. Voila! Some dramatic improvements, aren't there?(2) Surgical improvement of bony nasal vault deformities shown in Fig. 3; from top to bottom: after lateral osteotomy, after lateral osteotomy and medial oblique osteotomy, after medial oblique osteotomy.
So do you see why surgeons are prompted to describe the pre-surgical conditions of these women as [aesthetic] deformities? How would the surgeons describe Miranda Kerr’s nose? She would be described as a bad case for a white woman. Contrast her with all three examples of white females that reduced the thickness of the bony part of the nose (preoperative pictures on left) in a paper by Kortbus et al.(3)
People considering surgical correction of the bony nasal vault should read the first two papers cited(1, pdf; 2, pdf) and select a surgeon who is very well-versed in the techniques described. In the papers, osteotomy refers to cutting the bones, dorsum is front surface, ventral/base is back of the nasal vault, medial is toward the middle, lateral is toward the side and oblique is at an angle.
Miranda Kerr also has another nose deformity, illustrated in the following image, namely one of a narrow middle vault, which is defined as any upper cartilaginous vault that is at least 25 percent narrower than either the upper or lower nasal thirds (see a paper by Constantian,(4) which I will be discussing in a subsequent article because it is important). This deformity is sometimes not obvious in her pictures.
Fig. 5. Narrow middle vault nose deformity in Miranda Kerr; see text; click for larger image.
I suspect that Miranda Kerr has yet another nose anomaly/deformity, namely of not having a straight nose in side view, but I haven’t come across a clear profile view of her.
Once again, I am not describing Miranda Kerr’s nose as deformed, but using terminology that cosmetic surgeons would assign to it. If I am pathetic and biased, how would one describe medical professionals?
On another note, Miranda Kerr is a Victoria’s Secret model. Having a non-broad nose is important in modeling because a narrow nasal base allows the skin on it to drape more narrowly, creating a shadow effect and results in brighter reflection of light from the dorsum compared to the nasal sidewalls (dorsal highlight).(3) The papers cited again show why being selected by Victoria’s Secret does not imply that this is because most people/most among the target audience find the woman very good looking.
On yet another note, given the before and after pictures showing the results of nose jobs, it should be clear why women who have had nose jobs should be banned from beauty pageants.
- Cochran, C. S., Ducic, Y., and Defatta, R. J., Rethinking nasal osteotomies: an anatomic approach, Laryngoscope, 117, 662 (2007).
- Gruber, R., Chang, T. N., Kahn, D., and Sullivan, P., Broad nasal bone reduction: an algorithm for osteotomies, Plast Reconstr Surg, 119, 1044 (2007).
- Kortbus, M. J., Ham, J., Fechner, F., and Constantinides, M., Quantitative analysis of lateral osteotomies in rhinoplasty, Arch Facial Plast Surg, 8, 369 (2006).
- Constantian, M. B., Four common anatomic variants that predispose to unfavorable rhinoplasty results: a study based on 150 consecutive secondary rhinoplasties, Plast Reconstr Surg, 105, 316 (2000).