Concept of beauty

• 5 major components contribute to the facial complex - forehead, nose, eyes, lips, chin
• Balance creates beauty
• 1.618 is the 'divine proportion' or 'golden ratio'

Indications for facial plastic surgery

• Aesthetic anxiety
  • Combat effect of ageing
  • Congenital
• Trauma
• Following tumour excision

Types of plastic surgery

Rhinoplasty

• Nose reshaping
• Requires careful assessment of the face, nose and the person
• NHS Scotland has a strict cosmetic procedure
• Contraindications need to be ruled out e.g. mental health issues
• Never offer on first consultation

Otoplasty

• Surgical reshaping of the pinna
• Consider from age 6 onwards
• 3 common problems - underdeveloped antihelical fold, prominent concha, protruding lobe
• 1-2-3 assessment
  • 1cm from the most superior point of the pinna mastoid
  • 2cm from top of tragus to posterior part of pinna to mastoid
  • 30° between mastoid and helix