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Possible to Have Rhinoplasty on Bridge Without Breaking Bone?

asked 2 years ago by dvdrw in Malaysia
Latest answer by Jack P. Gunter, MD
Question viewed 852 times
Tags: Asian

Any Rhinoplasty for nose bridge only? without breaking bone? i'm an Asian, as you might know, some of the asian nose bridge are not high/tall. im interested to know is it able to raise my nose bridge w/o breaking my nose bridge? and, is there any better treatment for only raising my nose bridge? those which are permanent and wont break my nose.... any suggestion? and i saw 1 article on the net, which that author says people who do anything on nose bridge, surely need to break the bone, is that true? i hope you all can clarify me....

16 answers to Possible to Have Rhinoplasty on Bridge Without Breaking Bone?

Breaking nasal bones usually contraindicated in Asian patients

The typical Asian nose has a wide tip and a low bridge. Building up the bridge with an onlay graft will make it look narrower but the tip will still be wide. It can be made narrow by increasing the tip projection or taking in the sides of the nostrils. However the onlay graft does a better job of narrowing the bridge than these procedures do in narrowing the nostril base. For the face to be attractive it should have all its parts in... more

Jack P. Gunter, MD
Dallas Plastic Surgeon

www.rhinoplasty-usa.com

Rhinoplasty on bridge

Yes it is possible to augment your dorsum without breaking the bones. For this, I would typically use diced cartilage and fascia. Osteotomies (breaking of the nasal bones) are normally performed when one wishes to narrow the nasal bones, or fix an open-roof deformity. Hope this helps answer your question. Thank you and best of luck to you.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty can improve the contour of the nose without any necessity for osteotomies, or breaking of the nasal bones.

There are two basic approaches to a nose job, and the one chosen should be the best for the individual patient. One can utilize the technique of reduction Rhinoplasty to remove a hump, refine the nasal tip, etc, and sometimes an osteotomy to allow for movement of the nasal bones is important to the operation. We can also perform an augmentation rhinoplasty to add material to improve the contour of the nose. Material used can be self, or autogenous tissue (cartilage, bone, fat), or non... more

Michael H. Rosenberg, MD
White Plains Plastic Surgeon

plasticsurgeryweb.com

Asian rhinoplasty

In many Asian rhinoplasties, the dorsum needs to be raised. The bones are not usually fractured or broken because most of the time, a dorsal onlay graft will be applied.

Steven Wallach, MD
Manhattan Plastic Surgeon

Rhinoplasty on bridge without breaking bone

The easy answer is yes it is possible. But for you without photos there is no way to discuss this issue correctly. From MIAMI Dr. B

Darryl J. Blinski, MD
Miami Plastic Surgeon

Asian Rhinoplasty

Many Asian rhinoplasties require augmentation of the bridge to improve definition. Breaking the bones to narrow the bridge should also be considered. In consultation discuss all your options including other possible changes so you achieve a pleasing proportional result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty can be done without breaking the nasal bones

What you describe is a form of rhinoplasty known as augmentation rhinoplasty as opposed to reduction rhinoplasty. In augmentation rhinoplasty, a graft material such as cartilage, bone, or man made materials (Gortex, silicone, or Medpore) is added on top of the nasal bridge. Another choice is non-surgical injection of filler materials such as Restylane or Radiesse in this area. This last option is not permanent, and would require repeat injections every six months to two years. Please see... more

Maurice M. Khosh, MD
New York Facial Plastic Surgeon

Not all rhinoplasties require breaking nasal bones

Not all rhinoplasties require breaking the nasal bones (osteotomies). Most of the time Asian patients need a nasal implant to build up and augment the nasal bridge.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Asian AUGMENTATION Rhinoplasty (Nose Job)

Controlled breaking of the nose (IE Osteotomies) are done when the nose needs to be reduced (hump taken off) and or narrowed. In most Asians, they desire an augmentation of the dorsum of the nose. In this case a graft (Cartilage, or Rib), a man made implant (Porex, Silicone etc) or fillers may be used to raise the interface between the bone/cartilage of the back of the nose and the covering skin, giving it height. Breaking of the nose is usually not needed in such cases.

Peter A. Aldea, MD
Memphis Plastic Surgeon

Asian rhinoplasty will benefit from fracture (osteotomy)

Understanding ethnic variation in nasal shaping is quite important and it is true that most often there is a desire to raise the bridge of the nose in those with Asian features. The nasal bones typically are flat and the base of the bridge is broad and we find it helpful to create fractures along the side of the nose called osteotomies in order to narrow the base and improve the apparent height of the nasal bridge. The fracture will help blend the height of the bridge gained by use of a... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

You could consider a Non-Surgical Rhinoplasty to raise the height of the bridge of your nose.

You can have augmentation of the bridge of your nose without a surgical procedure. Injectable Fillers may be used with topical anesthetic and no downtime. You should consult a physician familliar with the art of non-surgical nasal augmentation and see many photos before you proceed. I hope this is helpful for you.

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Rhinoplasty and infracture

If an implant is placed on the top of the nose to raise it, then we do not need to break the bones. If the nasal bridge is being lowered, then we do need to fracture the bones to bring them back to the center. Best wishes, /nsn.

Nina S. Naidu, MD
New York Plastic Surgeon

Augmentation Rhinoplasty Possible Without Breaking The Nose

In some cases, especially asian noses that need the bridge to be made higher, an implant can be placed on top of the existing bridge. This does not involve any osteotomies (breaking the nasal bones). Regards

Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon

Rhinoplasty in the Asian nose

As you have pointed out, many Asian patients present with what appears to be a wide nasal bridge. The lack of height of the bridge also contributes to the appearance of a widened dorsum. Adding height to the bridge may be more of what you need to create an aesthetically pleasing nose, however, your rhinoplasty surgeon will be able to tell you whether narrowing the bridge will make the result even better than augmentation alone.

Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon

Not all rhinoplasties require the nose to be "broken"

This is called osteotomies. They are necessary when removing a large hump and to narrow the upper third of the nose. Not doing them could lead to a less than ideal result. When the nose is being augmented, as is often the case for Asian Patients, osteotomies are only occasionally necessary.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Adding to the bridge in rhinoplasty

There most certainly is a way to add to the bridge of the nose. It is a procedure called an augmentation rhinoplasty. This can be done with your own cartilage (from the septum, ear or rib) your own bone (such as from the hip or skull) or using an alloplastic material like silicone or medpor implants. It does take a plastic surgeon with a fair amount of experience in this procedure to get a very good result so I would suggest seeing several before you make your final decision. Very often... more