Behrooz Torkian, MD

There are a few reasons why a nose may appear wider after reduction of a nasal hump.

1. your tip was not treated / altered during the first operation. This can leave you with an imbalance in the appearance of the nose that makes your tip appear to be more bulbous. A simple tip rhinoplasty (assuming that your bridge is aesthetically acceptable) may be all that is necessary to correct this issue.

2. there may be an open-roof deformity. This occurs when the hump reduction is preformed without breaking the nasal bones comprising the sidewalls to move them closer together at the center of the bridge. This can also be easily corrected by preforming the fractures necessary to close the open-roof, thereby narrowing the bridge.

3. optical illusion. This occurs when a large hump is reduced in the bridge, leaving the "pyramid" shorter than its original dimensions. When looking straight at the face, you are looking from the top of the pyramid. This looks wider from this perspective because of optical illusion caused by the shadows cast by the height of the bridge. In the event that your hump was over-reduced, or if there is a concavity in the bridge, augmentation of the bridge may help this area to look narrower.

In general, many revision rhinoplasty procedures require attention to correcting a combination of the above problems. After discussing these issues with your original surgeon, decide if he/she is the right person to correct the problems. If not, then seek an experienced rhinoplasty specialist in your area.

Dr. T