Does solely heightening the nasal bridge (of a scooped bridge ) give the appearance of less projection? What are the perceived effects?
Heightening Nasal Bridge?
Doctor Answers 16
Effect of dorsal augmentation on tip projection
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.
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Raising the nasal bridge
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.
Heightening nasal bridge?
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!
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Increasing Nasal Bridge
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.
Raising bridge of nose for rhinoplasty
Raising the bridge makes:
- The nose look more narrow on frontal view
- Balances the proportions of the nose so the tip looks better
Rhinoplasty to heighten nasal bridge
Hightening the nasal bridge can lead to a more defined nasal profile and give the appearence of less tip projection.
Rhinoplasty for heightening the nasal bridge
To heighten the nasal bridge, cartilage is usually harvested from the internal portion of the septum and bridge is built up. When adding cartilage grafts to the nasal bridge, the bridge itself will become more projecting, while the tip will look less projecting. Please see the link below for examples of patients we have built up their a low bridge line in our rhinoplasty practice
Dorsal Nasal Augmentation
I think that augmentation of the "scooped" nasal dorsum gives the appearance of a longer nose with more balance. It may make the nasal tip appear a bit less projecting by comparison.
Heightening the Bridge
If one heightens the bridge, it will give the illusion of decreasing tip projection because aesthetics do depend on nasal proportions. However I do need to see pictures to determine if decreasing tip projection would also be beneficial.
Heightening a 'scooped' nasal bridge gives the appearance of less projection.
Thank you for your question. Yes, this is true. However, in many cases, the tip still needs to be altered in some way. While injecting fillers for the nasal bridge can give you this appearance temporarily, it will go away as the filler dissolves. This may be, however, a good way to see if you like this look, and then when the filler material is gone, getting a rhinoplasty to permanently change the appearance of the nose.
Pablo Prichard, MD