Frankfurt Horizontal Plane

A horizontal plane extending through the lateral facial profile with the head in a normal relaxed position. If an imaginary line were drawn from the ear canal to the area just under the eye (infraorbital rim), this should be parallel to the ground. This is a neural natural horizontal facial plane. Before and after photos are taken with people’s heads in this neutral position.

The black line in the image on the right is the Frankfurt Horizontal Plane. It is the proper angle to take profile images for before and after images in plastic surgery. It is drawn from the ear canal to the bony ridge under the eye (infraorbital rim). We ask rhinoplasty patients who travel from internationally or from afar to send photos with the appropriate angles. As a result, the rhinoplasty surgeon can best analyze the photos during the virtual consultation.