What Needs to Be Done when the Bridge Doesn't Fit with the Rest of the Nose? (photo)

I've always thought my bridge didn't fit with my face in general or my nose. The bridge is the only part that protrudes and it feels wide so when i smile it makes the rest of my nose quite wide too. I feel it takes up too much of my face. Would a doctor have to shave the sides of the bone down? and if so would that drastically alter my face? I just wish it would complement my overall look rather than make me self conscious. I attached some pictures to give you a better idea. What do you think?

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8 Doctor Answers | Asked by howl

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Nose and facial proportion.

Dear Howl. You have raised and excellent point. One of the key points in facial and specifically nasal aesthetics is proportion. Specifically, the nose needs to be appropriately sized to the remainder of the face in order to achieve the best possible aesthetics. In your particular situation, I agree that perhaps your nose is slightly large (in all 3 dimensions: length, width and projection) relative to the rest of your face. The size of the nose is... more

Treatment of wide nose with rhinoplasty

From your photographs you appear to be an ideal candidate for rhinoplasty . This would narrow and reduce the nasal hump. The tip of the nose also needs to be narrowed to help reduce the overall bulk of the nose and provide a smooth transition from tip to base. I would find a plastic surgeon who specializes in noses and go over some computerized imaging with him/ her prior to your surgery to make sure you are both on the same page.

Rhinoplasty and Nasal Proportions

While you are understandably focused on the bridge component of your nose, the reality is that you nose lacks overall proportion between the tip and the bridge. There is not a flowing and smooth transition between the three major elements of your nose. If there were, you would not notice the bridge at all. You really need a more complete rhinoplasty to achieve your goal of a more balanced and proportioned nose. This can be shown to you through computer imaging as to what would happen if you... more

What Needs to Be Done when the Bridge Doesn't Fit with the Rest of the Nose?

From the photos, the nasal bones appear to create a dorsal hump and the junction of these bones with the upper cartilages is quick thick and pronounced. You have two choices in dealing with this situation during a closed Rhinoplasty. You can break the bones and remove the bony hump or they can be rasped sown slightly without breaking the bones. The latter will give less thinning than breaking the bones. You should be able to discuss this during your Rhinoplasty... more

When nasal bridge does not fit remainder of nose

According to the picture shown, the tip and the bridge are both exceedingly wide and asymmetrical. Narrowing of the tip can be performed along with osteotomies to narrow, straighten and realign the nasal pyramid. Any hump can be removed at the same time so as to give a symmetrical natural looking nose, but still breathes properly. Significant narrowing of the midthird of the nose and the tip can improve the aesthetic look to the nose through a closed rhinoplasty procedure.... more

Bridge refinement in rhinoplasty.

You are correct. Your nose is too wide and it can be narrowed to look better without drastically changing your face. In addition, you need upper lateral cartilage grafts for your inverted V deformity.

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Rhinoplasty

In general a full exam needs to be done in person, but it looks like from the photos that you have thick skin, and wide features. It looks like more than just the bridge.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Nasal Bridge

Every nose is different and needs to be customized to achieve the goals you desire. I would recommend that you seek out a consultation with a board certified specialist in the face who can address your concerns in a more private setting.