The Fish Bone Technique: An Innovative Approach For The Nasal Pyramid.

Among many contributions to the world of art and science, Renaissance artist Leonardo da Vinci created the technique known as sfumato. In this technique, da Vinci considered that the regions to be highlighted should be lit up, while the regions to be hidden should be darkened. By making a parallel with the surgical treatment of the face, we can work on the anatomical structures underlying the skin and create a favorable surface anatomy for the entire face, including the nose. However, for the ideal hourglass shape of the nose to be obtained (3, 4), the bone portion must be equally shaped and, for that, different types os osteotomies are described and used for bone reshaping. The Fish Bone technique, which is described in this article, allows for the nasal bone pyramid to be shaped and adapted to the hourglass shape, aiming at a more harmonious contour, with smooth transitions and preservation of an adequate airway. Keywords: rhinoplasty, osteotomy, Nasal surface aesthetics, nasal bone.