Getting Nasal Spine Removed, Should id Not be Messed with? (photo)

asked 6 months ago by thathoustonguy in Houston, TX
Latest answer by William Portuese, MD
Question viewed 179 times
Tags: nasal bone, options

What percentage of people have to get some or all of their nasal spine removed? I had a consultation with one of the top Texas plastic surgeons and he said he doesn't like to mess with removing that bone because it can cause drooping of the nose later on. I had 2/3 say leave nasal spine and one say go after it. I need drastic results since I may not get a chin implant, so I'm not sure what to do..Also, what percentage of people have some nostril/alar base cut out?

7 answers to Getting Nasal Spine Removed, Should id Not be Messed with? (photo)

Removal of Nasal Spine

As I said in response to two previous questions I do recommend that the fullness at the top of your upper lip be reduced, whether it is the nasal spine or an extension of the end of your septum.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Removing nasal spine done without complications

The only way to get rid of this area of the nasal spine is to remove a portion of the bony and cartilaginous septum along the columella. This will involve removing a portion of the nasal spine to tuck the area in. If this portion of the columella is left intact, it will leave a telltale sign of having had a rhinoplasty. We have removed the nasal spine in many such cases like this without any complications.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Rhinoplasty

I do not believe that. If you suture the tip cartilages to the septal cartilage the tip is not going to droop after nasal spine removal.The only other option is removal of part of the lower edge of the septal cartilage but I am not sure that is indicated in your case. I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery. My response to your... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Partial nasal spine removal beneficial when indicated

It appears that you may be a good candidate for partial nasal spine removal. Drooping may occur if septum is not anchored properly. I actually drill a hole through the base of the nasal spine to permanently secure septum to ensure a solid/stable structure. Again, if indicated, your nostrils can also be reduced. I hope this helps, Dr. H

Gary M. Horndeski, MD
Houston Plastic Surgeon

Nasal Spine Removal

I have never heard of a Rhinoplasty Surgeon refusing to remove some or all of the nasal spine when it is indicated. Although a photo is not a substitution for a physical exam, it appears that your nasal spine should be reduced.