Public Release: 

Study examines aesthetic nasal tip projection, rotation in white women

The JAMA Network Journals

Bottom Line: A nasal tip rotation of 106 degrees was considered the most aesthetic in a study of young white women, although what defines beauty for white faces is not necessarily applicable to the faces of other races or ethnicities.

Author: Omar Ahmed, M.D., of New York University, and colleagues.

Background: Rhinoplasty is a technically challenging aesthetic surgical procedure. Attempts to objectively capture the ideal nasal tip projection (NTP) have been elusive with no clear aesthetic standard identified.

How the Study Was Conducted: The authors sought to identify the ideal NTP and rotation using digitally modified photos of young white women in electronic surveys given to traditional focus groups (n=106) and online participants (n=3,872).

Results: The most preferred rotation for three NTP methods was 106 degrees. The most aesthetic combination of tip rotation and projection was 106 degrees with the tip projection known as Crumley 1.

Discussion: "Further research is needed to determine whether a more ideal projection exists beyond the standards defined by current NTP methods."


(JAMA Facial Plast Surg. Published online June 26, 2014. doi:10.1001/jamafacial.2014.228. Available pre-embargo to the media at

Editor's Note: Please see the articles for additional information, including other authors, author contributions and affiliations, financial disclosures, funding and support, etc.

Media Advisory: To contact corresponding author Brian J. Wong, M.D., Ph.D., call Tom Vasich at 949-824-6455 or email An author podcast will be available when the embargo lifts on the JAMA Facial Plastic Surgery website

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