Rhinoplasty: Q&A
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Can I Narrow my Nose Without Having a Graft, Only Osteotomy? (photo)
Can I Narrow my Nose Without Having a Graft, Only Osteotomy?
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10 Doctor Answers |
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betternose
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Can I Narrow my Nose Without Having a Graft, Only Osteotomy?
I have performed Rhinoplasty for over 25 years. When the nasal bones are short (low nasal dorsum or bridge) they can collapse when osteotomies are performed to narrow the nose as the bones on each side lack sufficient height to come together in the middle. This then requires addition of a dorsal graft, which I prefer using the straight silastic implants. This is most likely why the dorsal graft was suggested.
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Please narrow my nose
Your nasal bones seem wide, but the base of your nasal tip (called the alar base - where the nostrils meet the upper lip) also seems wide. You have to think of a nose that looks natural and is in appropriate proportion. How much and where it can be narrowed can also be affected by how well it functions.
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Narrow Nose
Wonderful thoughts from a number surgeons! Consider your entire nasal package as you narrow your mid-nose. I can think of at least ten different ways to help you achieve your goals. So, seek consultation from several sources.
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There are Many Ways to Narrow the Nose
Osteotomies would narrow your nose. The real question is whether you would get enough narrowing to acieve the look you want. From the side view, your dorsum is a bit low, and while the osteotomies would raise the dorsum somewhat, they would likely not raise it high enough to give a nice smooth result. A graft on top of the dorsum would not only give you a straighter look from the side but by elevating the dorsum it would make your nose look even narrower and more proportional. Some of your...
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Focus on your goal
It is possible for you to see a small amount of narrowing with an osteotomy. It looks like a graft would help give the nose a more refined shape; however, it is difficult to give a definitive opinion from these photos.
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Low dorsum
The osteotomy will elevate your dorsum but this may not be enough. One has to achieve a certain level of proportionality in order to have an ideal result but if you can be satisfied with some improvement, then osteotomy should suffice.
Huntington Beach Facial Plastic Surgeon
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Noses can be narrowed without osteotomies
Depending on your anatomy, you may be a candidate for visually narrowing your nose via augmenting the dorsum with cartilage, injections, or (rarely) implants.
I would not, however, rule out osteotomies altogether. Go in with a result as your goal; try to be flexible with the path that gets you there- some ppaths are better than others!
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Nasal width
If you have a low dorsum, it can make your nose look wide on full face view. AN exam in person would be critical to better evaluate your situation. Good luck.
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Can I Narrow my Nose Without Having a Graft, Only Osteotomy?
Your dorsum is low. The classic approach to this nose would be to use a rib cartilage graft. In some patients, who want a less intrusive simpler procedure, I've had good success with fat grafting, both with injection and open dermal fat grafting.
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Narrowing Nose Without Graft
More information and better pictures would be helpful. For example, is this a revision surgery? Pictures can be misleading when you're smiling. The bony portion of your nose can be narrowed without a graft. However, a graft may be necessary to improve the apparent depression in your profile. The tip and base of your nose may be wide but this is difficult to evaluate when you're smiling.
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