Simultaneous Dorsal Heightening and Narrowing

asked 1 year ago by IndieDark in United States
Latest answer by William Portuese, MD
Question viewed 257 times
Tags: bridge, combination, height, narrow

Dear Doctors, would I be able to have my nose bridge narrowed before heightening it with an implant, all in a single operation or is this impossible? Thank u!

9 answers to Simultaneous Dorsal Heightening and Narrowing

Dorsal heightening and narrowing of the nose.

These are frequently done together, especially with ethnic rhinoplasty and revision rhinoplasty. See an experienced rhinoplasty surgeon who does this frequently.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Dorsal heightening and narrowing of the nose

Without pictures it is impossible to tell if the heightening and narrowing could be done simultaneously on the nose. Asian rhinoplasty is typically an augmentation only whereas Caucasian rhinoplasty can be a combination of both; it depends on how wide and flat the existing nasal bones are prior to undergoing a rhinoplasty. Augmentation can be obtained through the patient’s own natural cartilage or through a synthetic implant, such as silastic.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Narrowing the Bridge and Augmenting Profile during #Rhinoplasty Surgery

HI IndieDark in United States, Yes, narrowing the bridge and building up the bridge is commonly performed at the same time during rhinoplasty surgery. Narrowing the upper third of the nose requires bone reshaping. Building the bridge or augmenting the profile requires placement of some material. Your own cartilage is the ideal material. In addition, building the bridge will also make the nose appear narrower. Speak with a rhinoplasty surgeon to help determine appropriate... more

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon

Simultaneous Dorsal Heightening and Narrowing

Hello, It is difficult to give you any advice without seeing photos and/or performing an examination. In most cases, this may all be performed in a single surgery. Every patient has their own individual circumstances. If you wish, you may send any photos to my office and I would be happy to evaluate them for you. You may also call and schedule a consultation. My contact information is listed in my profile. Thank you, and good luck. Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon

Simultaneous Heightening and Narrowing of Nasal Dorsum

Simultaneous augmentation and narrowing of the dorsum is frequently done during rhinoplasty surgery. Rather than using an implant as you suggest, consider a graft of your own cartilage or fascia which will become integrated into the surrounding tissue.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Simultaneous Dorsal Heightening and Narrowing

Simple answer is YES. But with out photos I can not really expound on my recommendations. Best of luck. Also seek in person evaluations from boarded surgeons in your area.

Darryl J. Blinski, MD
Miami Plastic Surgeon

Rhinoplasty

Often with nasal dorsal augmentation, the nose appears narrower after a dorsal onlay is placed and secured.

Steven Wallach, MD
Manhattan Plastic Surgeon

Simultaneous dorsal augmentation and narrowing can be very successful

Narrowing the nasal complex at the same time as dorsal augmentation (heightening) is done very often and is usually very successful if patients are chosen carefully for the procedure. The material for augmentation can be autologous (bone or cartilage) or it can be a synthetic implant, depending on the experience and choice of the surgeon.

Roger J. Oldham, MD
Bethesda Plastic Surgeon

Yes

Hi, Narrowing the bridge involves osteotomies. Narrowing the bridge itself adds a little bit of height. If you like to keep the height where it is, then the bridge needs to be rasped down after narrowing. If you are trying to get more height then the narrowing itself may suffice or you may need additional cartilage on the bridge to give it height. I would avoid "implants" as they can cause infection or extrusion problems even years later. ... more