Rhinoplasty: Q&A
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Adding to my Nose Instead of Taking Away? (photo)
I have a bump on the profile that I would like have gone, but am curious as to if there are any other less traumatizing ways to get rid of a bump other than shaving it. My face is long, and I'm not sure how my nose will look if the bump goes away; does shaving the bump make the nose shorter/smaller? Also I understand that sometimes the bridge appears wider in the front when the bump gets taken away. Is there any way a PS can use a graft and make my nose even? I do want minor tip work as well.
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10 Doctor Answers |
Asked by
Kailey18
in United States
+2
Nasal grafting in rhinoplasty instead of reducing
You are absolutely correct. Kudos to you for having the aesthetic insight! You have very little tip projection and an acute nasolabial angle. You would certainly be better served with a columellar strut for tip support and to open your nasolabial angle. You will likely need a small tip graft as well if tip suturing does not create sufficient definition. These maneuvers would nearly completely hide your dorsal bump. supraseptal spreader grafts would...
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Addressing nasal hump without removing it
When there is a shallow nasal root or glabellar area, grafting techniques may be performed to give more height to the glabella. Tip work is performed to feminize and refine the nasal tip. When both glabella and tip work are performed, the midportion of the nose and the bump on the bridge will need to be addressed, probably through filing the bridge line down. It is impossible to do just tip work and just a graft in the glabella without doing some work in between in the mid...
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Non-surgical options
You do have the option of a non-surgical rhinoplasty to add to the radix (top of nose) - making the bump less apparent
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Combining both tip augmentation and dorsal reduction to achieve the ideal tip and profile.
When deciding how to best improve the nasal profile it is imperative to simultaneously consider what the aesthetic goals for the nasal tip are. Essential to achieving the best cosmetic outcome is an accurate preoperative analysis and plan. Each case will require its individualized surgical plan. In some cases it may be necessary to only remove bone and cartilage in the middle third. In other cases it may be necessary to increase tip and supratip projection...
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Rhinoplasty
In your posted photo the bump looks like it is more cartilage than it is bone. The options then are to cut back some of the cartilage, put a graft above the bump to mask it or some combination of the two. If the bump is removed leaving an open roof and the nasal bone sidewalls are not moved inward the bridge can look wider. I would think your best options are remove the hump, nasal bone infracture and trim the upper edge of the tip cartilages.
I hope you realize that this format of...
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Los Angeles Plastic Surgeon
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Bump on nose
More than likely you will need the bone shaved to remove the bump. An exam would be necessary to assess this properly.
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Nasal injections
Dermal fillers such as Juvederm or Radiesse are great injections for the nose to augment the dorsum.
Good Luck.
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Options to correct nasal bump and refine nose.
Your morphed photos show a nasal profile which could be accomplished with a small cartilage graft placed just above your nasal bump. This graft would fill in the small depression and thus make the bump look like it is gone without removing it. Tip work, usually done by suturing techniques could be done at the same time to refine your nasal tip. This would give you a subtle change to your nose, so it would still be in harmony with the rest of your face.
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Nasal Grafting in Rhinoplasty
Rhinoplasty is by far the most artistic and technically demanding procedure in facial plastic surgery. I believe that the goal of rhinoplasty should be a nose that looks and feels natural and is in harmony with the rest of the face without having an "operated upon" appearance. I often use nasal grafting in cases such as yours to achieve this harmony. You are an excellent candidate for this procedure. Be sure to consult with an experienced Facial Plastic...
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Rhinoplasty for the wide nose with a bulbous tip and hump.
Rhinoplasty for the wide nose with a bulbous tip and hump can be done to give you what you have shown. Your tip needs to be projected slightly as you have done and the bones narrowed. See an experienced rhinoplasty surgeon for the best results.
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