The Scandinavian nose is an aesthetic nasal structure characterized by a high dorsal line extending uninterrupted from the nasal root to the tip, pronounced projection, and a generally straight dorsal contour. Frequently encountered in rhinoplasty literature and patient requests, this form presents a strong and defined appearance in the facial profile rather than a subtle one. This model is distinguished by the way light reflects along the nasal bridge in a straight line without interruption, and by the nasal tip extending forward from the facial plane at an ideal proportion rather than being excessively upturned. In aesthetic surgery, this structure is regarded as an elegant ideal that adds sharpness and a sophisticated expression to facial features, with a clearly defined bony and cartilaginous framework.
İçindekiler
Is the Scandinavian nose type suitable for my face and why is profile analysis essential?
Many of us consult physicians with photos seen on social media or in magazines, saying, “This is the nose I want.” The reason that high-profile, straight-backed, striking Scandinavian nose looks so good on the person in that photo is not only the shape of the nose itself. Its beauty comes from the remarkable harmony it forms with the forehead curve, lip fullness, and most importantly, the chin. We call this a holistic facial analysis.
Viewing rhinoplasty as a procedure that concerns only the nose is like trying to change just one piece of a puzzle. Especially when a high-profile nose is desired, the concept we call “profiloplasty” comes into play. In other words, when viewed from the side, there is an invisible geometry between the most prominent point of the forehead, the tip of the nose, and the most anterior point of the chin that governs our aesthetic perception.
Let us mention a situation we frequently encounter. When you look in the mirror, you may think your nose appears too large or too prominent for your face. However, upon detailed analysis, we may find that the issue is not the size of your nose, but rather that your chin is positioned too far back. According to clinical observations, nearly one-third of women seeking aesthetic treatment and an even higher proportion of men have a chin structure that lies behind the ideal line.
In a face with a retruded chin, no matter how much we reduce or refine the nose, it will continue to appear large. If we create a bold, high-projection Scandinavian nose while the chin remains retruded, facial balance is completely disrupted and a bird-like profile may emerge.
For this reason, during examination we do not focus solely on the nose. We carefully evaluate the following areas of the face:
- Forehead curvature
- Chin position
- Lip structure
- Cheekbones
- Eye opening
If there is retrusion in the chin, advancing it with fillers or surgical implants simultaneously with or prior to nasal surgery can dramatically increase the aesthetic success of the nose. In this way, the strong nasal profile you envision does not appear artificial, but instead forms a natural unity, as if it has always belonged to your face.
How is the balance between nasal tip rotation and forward projection achieved?
As mentioned, the most distinctive feature of the Scandinavian nose is its “high profile.” However, height does not mean uncontrolled length. A very delicate engineering calculation is involved here. We have two fundamental concepts: projection and rotation.
Projection refers to how far the nose extends forward from the facial plane. Rotation refers to how much the nasal tip turns upward. In a Scandinavian-style nose, projection is generally high, meaning the nose is not flat. However, if this forward extension is excessive relative to the face, an unnatural appearance—often referred to as a “Pinocchio nose”—can result when viewed from the side.
On the other hand, increasing nasal tip rotation can make the face appear younger and more dynamic. But if taken too far, it leads to an undesirable outcome where the nostrils are directly visible from the front, commonly referred to as a “pig nose.”
To find the ideal balance, we must also consider gender. In women, the nasal tip is expected to sit slightly higher than the nasal dorsum by a few millimeters, with a very subtle supratip break that adds a soft feminine touch to the otherwise strong Scandinavian line. In men, the situation is entirely different; the nasal dorsum should remain straight, the tip aligned with the dorsum, and that feminine curvature should be avoided. What we seek in male faces is a masculine, sharp, and defined structure.
When establishing this balance, we calculate the following factors:
- Naso-labial angle
- Nasal dorsum length
- Forehead-to-nose transition angle
- Facial length
- Intercanthal distance
How does thick or thin skin affect the Scandinavian nose result?
Perhaps the factor patients pay the least attention to, yet one that most strongly influences our surgical planning, is skin type. Skin can be thought of as a fabric covering the bony and cartilaginous architecture we create. No matter how perfect the underlying structure is, this fabric determines whether it is revealed or concealed.
- Patients with Thick Skin:
Thick skin is usually oily, with enlarged pores and a dense texture. Its advantage is that it conceals minor imperfections very well. However, in cases where sharp lines and defined transitions are desired, as in the Scandinavian nose, thick skin can be challenging. Like a heavy blanket, it tends to soften and obscure fine details.
To achieve a sharp, high-profile look in thick-skinned patients, we must construct a very strong cartilaginous framework to push the skin outward. Think of pitching a tent: the heavier the canvas, the stronger the poles must be. Otherwise, the weight of the skin will gradually overpower the cartilage and distort the shape. Additionally, postoperative swelling takes longer to resolve in thick-skinned patients.
- Patients with Thin Skin:
Thin skin, on the other hand, behaves like satin fabric, reflecting everything beneath it. In such patients, achieving sharp and elegant Scandinavian contours is easier, as even the smallest modification becomes visible. However, even the tiniest irregularity in bone or cartilage can also be seen, making camouflage techniques essential.
Factors affecting skin quality include:
- Genetic background
- Oiliness
- Pore size
- Sun damage
- Smoking
Tissues used to camouflage irregularities in thin-skinned patients include:
- Temporalis fascia
- Perichondrium
- Adipose tissue
- Crushed cartilage fragments
Why is ultrasonic piezo technology preferred for this nose type?
In the past, rhinoplasty was associated with heavy instruments, significant bruising, and swelling. Today, technology has transformed this field. For nose types like the Scandinavian nose, where the dorsal line must be perfectly straight and smooth, precision in bone shaping is crucial. This is where Piezo (ultrasonic rhinoplasty) technology comes into play.
Piezo uses ultrasonic sound waves rather than mechanical force to shape bone. Its most remarkable feature is selectivity: it affects only hard tissue while preserving soft tissues such as vessels and nerves. This allows for micrometric bone sculpting and polishing, resulting in a smooth, straight dorsal line with minimal trauma.
Because soft tissue damage is minimal, postoperative recovery is more comfortable:
- Less bruising
- Less swelling
- Less pain
- Faster recovery
- Greater comfort
Is rib cartilage support necessary to prevent long-term tip drooping?
One of the greatest concerns among patients is whether the nose will lose its shape over time. Especially with high-profile, forward-projecting noses, resistance to gravity and skin pressure is essential.
The higher the structure, the stronger its foundation must be. In many first-time surgeries, septal cartilage provides sufficient support. However, in cases such as previous failed surgeries, severe trauma, congenital cartilage weakness, or planned nasal augmentation, additional support may be required.
In such cases, rib cartilage is the most reliable option. Harvested through a small, concealed incision beneath the breast fold, it provides strong, abundant, and fully biocompatible material. This ensures that the nose maintains its form not only for years, but for decades.
How is breathing function preserved during aesthetic modification?
A beautiful nose that cannot breathe is considered a failed outcome. In Scandinavian nose procedures, narrowing the dorsum must be balanced with preservation of the airway.
We adopt a “functional aesthetic” approach, correcting septal deviation, reducing enlarged turbinates, and reinforcing the nasal valve when necessary. Structural grafts used for aesthetic purposes also help maintain airway stability, allowing patients to breathe better than before.
How does the recovery process progress and why is patience important?
Rhinoplasty is a journey rather than an instant result. Initial swelling is expected, and while about 70% of the shape becomes visible within the first month, full refinement takes time.
Final results typically emerge between 6 months and 1 year, and up to 1.5–2 years in thick-skinned patients. During this time, fluctuations in swelling are normal. Patience is the most important part of the healing process.
During recovery, patients should be cautious about:
- Wearing glasses
- Intense physical activity
- Direct sun exposure
- Risk of trauma
- Excessive heat such as saunas
Prof. Dr. Murat Songu – Burun Estetiği (Rinoplasti) Uzmanı
Prof. Dr. Murat Songu, 1976 yılında İzmir’de doğmuş, tıp eğitimini Ege Üniversitesi Tıp Fakültesi’nde tamamladıktan sonra Celal Bayar Üniversitesi Kulak Burun Boğaz Anabilim Dalı’nda uzmanlık eğitimini tamamlamıştır. 2005–2006 yıllarında Fransa’nın Bordeaux kentinde Prof. Vincent Darrouzet ve Dr. Guy Lacher gibi rinoloji alanının önde gelen cerrahlarıyla çalışarak rinoplasti, fonksiyonel burun cerrahisi ve kafa tabanı cerrahisi üzerine ileri eğitim almıştır.
Burun estetiğinde doğal görünüm, nefes fonksiyonunun korunması ve yüz estetiği dengesini ön planda tutan Prof. Dr. Songu, açık teknik rinoplasti, piezo (ultrasonik) rinoplasti, revizyon rinoplasti, burun ucu estetiği ve fonksiyonel septorinoplasti operasyonlarında ulusal ve uluslararası düzeyde tanınan bir cerrahtır. Yurt içi ve yurt dışında çok sayıda rinoplasti kongresinde eğitici ve konuşmacı olarak yer almış; yüz estetiği ve burun cerrahisinde modern tekniklerin yaygınlaşmasına öncülük etmiştir.
100’den fazla bilimsel yayını, kitap bölümü yazarlıkları ve 1700’ü aşkın uluslararası atfıyla rinoplasti alanında Türkiye’nin en saygın akademisyenlerinden biri olan Prof. Dr. Murat Songu, doğal, yüzle uyumlu ve fonksiyonel sonuçlar hedefleyen cerrahi yaklaşımıyla hem bilimsel hem estetik başarıları bir araya getirmektedir.
