Does heightening the nose bridge give the appearance of less projection?

Photos would really help,a lot in order to,answer your question. Dorsal nasal augmentation is possible through a variety of techniques. Most people interested in the procedure are Asian and have low nasal bridges. In other cases it is done as part of a revision rhinoplasty. In my opinion, most nasal dorsal augmentations tend to look a little weird. Think of Javier Bardem. He clearly had that type of procedure done, in fact I could see the open rhinoplasty scar in the movie "No Country for Old Men" and look where he is now. He has an Oscar and is married to Penelope Cruz. Sorry, bad example.

Building the nasal bridge will not solely decrease nasal projection. Depending on the circumstances of the patient, it may even give the appearance of increased projection. In general, projection can be decreased by the following methods:

1) Shorten the lower lateral cartilage
2) Release ligaments
3) Using an overlay technique

The perceived effects of building the nasal dorsum can vary depending on your goal. If you wish to reduce the appearance of a scooped nose, building the nasal dorsum can yield a fantastic result. Building the dorsum can also help improve the appearance of a "flat" nose, or add masculinity for certain male patients. I hope this helps, answer your questions, and best of luck!

Dear happygurl1234,

Raising the bridge makes:


The nose look more narrow on frontal view

Balances the proportions of the nose so the tip looks better


Best regards,

Nima Shemirani
 

Hi Happy,

Glad to see a happy girl, so many fail to be grateful for what they have!  Heightening the bridge of the nose does give the appearance of decreasing the projection of the nose.  In most cases this is accomplished with rhinoplasty using the patient's own cartilage as grafts.  In other cases we are able to use injectable fillers (non-surgical rhinoplasty) to achieve the effect.  Choose your rhinioplasty specialist most carefully.  Good luck, be well, and share your happiness.

Dr. P

Heightening the nasal bridge does correct scoop, and creates the proper proportion of projection to radix height making the nose look balanced. 

     Yes, heightening the nasal bridge (of a scooped bridge ) gives the appearance of less projection. 

Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

 

Kenneth Hughes, MD Los Angeles, CA

Thanks for the question. Yes, raising the nasal bridge in patients with a low or scooped bridge (either naturally or as the result of prior rhinoplasty) can have some favorable effects on the appearance of the nose. First the tip can appear to be less projected and more balanced with the rest of the nose. Second, the nose will appear narrower on front view when the bridge is a bit higher. Third, augmentation of the upper part of the bridge can help better define the starting point of the nose. A nose which is too low can appear to run right into the lower forehead. Lastly, if a bridge is overly scooped after prior rhinoplasty, it may have a less natural appearance. LIfting it may make the nose appear more natural and less "done". 

My preference for raising the bridge is to use the patient's own cartilage, ideally from the septum. If septal cartilage is insufficient (in revision cases, for example), ear or rib cartilage are other options. An alternative to cartilage is the use of injectable filler, such as Restylane, Perlane, or Juvederm. This Nonsurgical Rhinoplasty is a 15 minute office procedure and can be a good option for patients who are not yet ready for surgery.

Best regards,

Dr. Mehta

The distance the nasal tip exists away from the plane of the face is what is referred to as projection. True changes in tip projection involve moving the tip further (increased projection) or closer (decreased tip projection) using a myriad of techniques. In addition to actually moving the tip, there are ways to alter the perception of tip projection by modifying the surrounding structures. When the dorsum is higher the tip will look relatively less projected. When the dorsum is lower the tip will appear to look further away from the face or more projected. These two effects are referred to as "pseudoprojection"  because the true tip position is not altered even though it looks as such. These are important concepts for the surgeon and patient to think about when planning surgery.

A scooped bridge can give the illusion of a more projected tip while a heightened, straighter bridge gives the appearance of a less projected one based solely on proportions.  Please consult with a board certified specialist who can assist you with achieving the results you seek, including computer morphing to show you what you could look like with surgery.

Hightening the nasal bridge can lead to a more defined nasal profile and give the appearence of less tip projection.