Rhinoplasty is the most common cosmetic surgery in Iran. Unfortunately, despite the prevalence of this type of surgery in Iran, most references and techniques used in rhinoplasty are still developed abroad. It should be noted that measures of a beautiful nose for Iranian people are slightly different from those used in foreign countries. In addition, because of racial and ethnic differences, there are differences between Iranians and foreigners in terms of anatomical shape of the nose.
In the western countries, body shape is considered more important than facial beauty, and therefore, people in these countries often seek surgeries for making their body more perfect (particularly breast implant). In contrast, Iranian people concentrate more on facial beauty than they do on the beauty of other parts of the body. This is why Iranian people use cosmetics much more than people in western countries and cosmetic surgeries (in particular rhinoplasty) are more common among Iranian people.
On the other hand, Iranian noses have some undesirable features that are not often seen in western noses. Iranian noses (due to their ethnical background) have bents with dropped tips. In addition, there is longer distance from the face to the nose tip, given the nose a longer, bigger look. This is often features in cartoons depicted in magazines (figure below).
For these two reasons, Iranian people seek rhinoplastic help to remove their nasal defects. But do they share the same taste with western people when it comes to nasal beauty?
Most people in European countries are white, with skinny nasal tissues. There is a thin layer of subcutaneous tissue on the nasal bones, and therefore the width of the nose is largely determined by the shape of the nose and cartilages. Iranian people have thicker subcutaneous nasal tissues and skin thickness has greater impact on the width of their nose.
Roman nose is less prevalent among European people while this is a common feature of Aryan race. Long nose bridges lead to bents and deviations. It should be noted that a study conducted by me and my colleagues in 2008, published in an American otolaryngology journal, revealed that Iranian people need septoplasty for correcting deviated septum at younger ages compared to people in western countries.
It should also be noted that European people live in a relatively humid weather, and thus they have less difficulties in terms of nasal congestion and dryness (people in Iran can feel that they breathe more easily in northern cities of Iran). This leads to smaller movements of muscles involved in moving nasal parts. Drier weather in Iran leads to more nasal congestion and larger movements of muscles. Nasal muscles can play a significant role in growth of the nose (For more information on this click here ).
In contrast, many Iranians want major changes and prefer surgical results to be prominently observable on their noses. Therefore, in some cases, patients wants changes that lead to nasal congestions (figure below).
Although satisfied with profile view of her nose, this patient complains about extremely slim nose and its disproportion to other parts in frontal view. The surgeon has tried to create an extremely thin nose, and this has led to disproportionally thinner lower parts (lower arrows) compared to the upper parts of the nose (upper arrows). This may also increase the risk of nasal congestion.