Rhinoplasty

What is Hazelnut Nose and How Does It Happen?

Posted on by Dr. Alev Camcıoğlu

A hazelnut nose is a term used to describe a nasal structure that is slightly upturned, round, and harmonious with the face. It is generally associated with a young, natural, and attractive appearance. Achieving this look requires shaping the nasal bridge, tip, and cartilage structures in harmony. Rhinoplasty surgeries provide a personalized approach to an individual’s anatomy, allowing for thinning of the nasal tip, narrowing of the bridge, and adjusting the size of the nostrils to achieve the desired result. However, each person’s facial structure is different; therefore, detailed planning with an experienced, board-certified plastic surgeon is of great importance to obtain a natural and proportionate appearance.

Is Genetics Effective in the Formation of a Hazelnut Nose?

Genetic factors play a major role in the formation of the small, round, and slightly upturned nasal structure described as a hazelnut nose. Certain genes that determine nasal morphology can directly influence the emergence of this aesthetic structure.

DCHS2 gene regulates the angle and projection of the nasal tip. Variations in this gene can cause the nasal tip to be more upturned, contributing to the hazelnut nose appearance. In particular, a prominent and slightly upward-tilted nasal tip forms through the effective functioning of this gene.

RUNX2 gene is related to bone development that determines nasal length. Certain variations in this gene can lead to a shorter nasal structure. This supports the short and compact appearance characteristic of a hazelnut nose.

GLI3 gene plays a role in the formation of cartilage tissue and affects nasal width. A narrower nasal structure can arise from polymorphisms in this gene. This thin and elegant appearance highlights the hazelnut nose aesthetic.

Additionally, PAX1 and PAX3 genes play a critical role in facial development. These genes influence the width of the nasal root, the distance between the eyes, and the shape of the nostrils, thereby ensuring aesthetic balance.

Lastly, COL17A1 gene regulates the width of the nasal bridge and the overall structure of the nose. Alongside genetic factors, environmental and evolutionary adaptations have also contributed to the formation of nasal shape. The hazelnut nose appearance is the result of individual genetic differences and evolutionary adaptation.

What Surgical Options Are Available to Achieve a Hazelnut Nose?

A hazelnut nose is an aesthetic feature defined by a small, round, and slightly upturned nasal tip. The most effective method to achieve this appearance is Rhinoplasty. Rhinoplasty is a surgical procedure that involves shaping the nasal bone and cartilage structures according to a person’s nasal anatomy and aesthetic goals.

Open rhinoplasty is a technique that allows the surgeon to fully visualize the nasal structures. A small incision is made along the columella between the nostrils. This method is particularly preferred in situations that require detailed and delicate reshaping of the nasal tip. Closed rhinoplasty, on the other hand, involves making incisions only inside the nostrils, leaving no external scars and generally offering a shorter recovery time. However, since access is limited, it is more suitable for minor interventions.

Shaping the nasal tip forms the basis of the hazelnut nose appearance. With cartilage shaping techniques, the lower lateral cartilages in the nasal tip are rearranged or supported with cartilage grafts. Additionally, tip suturing techniques help precisely adjust the upturn and round contour of the nasal tip.

In individuals with wide nostrils, alar base reduction (alarplasty) is performed to narrow the nasal base, creating a refined appearance that complements the nasal tip. Alternatively, non-surgical dermal filler applications can provide a temporary hazelnut nose look, but permanent and structural changes are only possible through surgical interventions.

What Are the Possible Risks of a Hazelnut Nose?

A hazelnut nose aesthetic aims for a nasal appearance with slightly upturned and rounded contours that complement one’s facial features. This result is generally achieved through Rhinoplasty or liquid Rhinoplasty procedures. While both methods have certain advantages, it is important to remember that they also carry some risks.

Rhinoplasty: Surgical Method

  • Rhinoplasty is a surgical procedure that permanently reshapes the nasal bones, cartilage, and soft tissues. However, like all surgical interventions, it involves risks that require attention:
  • Bleeding and Infection: Bleeding and infection can occur during or after surgery, but these risks can be minimized through surgical techniques and proper hygienic care afterward.
  • Anesthesia Complications: Allergic reactions to anesthesia are rare, but risks can be reduced through thorough preoperative evaluations.
  • Breathing Difficulties: Postoperative swelling or structural changes in the nose may temporarily cause breathing issues.
  • Sensory Loss: Numbness around the nose area may occur after the procedure; while usually temporary, it can rarely be permanent.
  • Scarring: External incisions made in open rhinoplasty may leave scars, though they typically become less noticeable over time.
  • Need for Revision Surgery: Results may not always be exactly as desired for all patients. Approximately 5-15% may require a second surgical correction.

Liquid Rhinoplasty: Non-Surgical Method

  • Liquid Rhinoplasty involves the use of dermal fillers for temporary changes in the shape of the nose. It is less invasive compared to surgery; however, the following risks exist:
  • Vascular Complications: Incorrect injection can lead to vascular occlusion and, in rare cases, tissue loss or vision loss. Emergency intervention with hyaluronidase may be required.
  • Infection: Procedures performed under non-sterile conditions can lead to infections. In experienced hands, this risk is minimal.
  • Asymmetry and Irregularities: Improper placement of fillers can cause facial asymmetry and may require correction.

The most important factor in these procedures is working with a qualified and certified practitioner who considers individual anatomy and aesthetic expectations. Understanding the risks and making an informed decision is critical for safe and satisfactory results.