I originally had rhinoplasty to narrow my bridge and remove slight bump. It's been 1 1/2 yrs since surgery ..I love my profile but my nose doesn't seem any narrower. I really am unhappy with the results with a photo flash (looks like a hook nose. I discussed with my original surgeon. He agreed to correct but wants to add cartilidge to bridge to give appearance of a narrower nose. I met with a second surgeon. He said my profile great and would go in and narrow more def not add anything to nose
Which Surgeon is Right: Should I Narrow my Bridge or Add Cartilage?
Doctor Answers (15)
Getting that frontal view to not looked washed out in photos is all about shadows and contour. If your bones are wide then osteotomy may help, but often a small onlay graft can create the shadow and look. You might even need both. You could try some filler as onlay and see how you like the change. This would not be permanent and would not be very invasive but might help you decide what you like. Otherwise you have a nice result.
Adding Cartilage vs Narrowing Bridge
Dear Cindy: I would narrow the upper portion of your nose but I would not add cartilage to your bridge. You do have a depression in your profile above your tip which should also be corrected. Make sure you select a physician experienced in revision surgery whose results you like.
Narrow the nasal bones or add cartilage during Revision Rhinoplasty
From these photos (no proper profile shot), I can't tell if your nasal bridge is low or not. If the bridge is low and your nasal bones are short there is minimal room for further narrowing by rasping the sides of the bones or by breaking them and moving them closer together. An onlay dorsal implant would be required. If, on the other hand, the nasal bones are not short, osteotomies to fracture the nasal bones towards the midline would make the nose more narrow and would not require any graft or dorsal implant.
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Treating wide nose after rhinoplasty
I agree that your profile looks good in which case adding cartilage to it may be counter-productive. It looks like performing osteotomies to narrow the nasal bones would be a good course of action. If this was done during the first surgery it may not have produced adequate nasal bone narrowing.
Revision of the pollybeak nose with a wide lower bridge.
Revision of the pollybeak nose with a wide lower bridge can be done. I would not add to your bridge. Make sure you see an experienced revision rhinoplasty surgeon.
Nose to wide after rhinoplasty
From what i can see in you pictures, I would opt to revise your ostotomies and not graft cartilage. Cartilage grafts can be wonderful but, also cause problems
Should I Narrow my Bridge or Add Cartilage?
From your profile view, your radix appear quite high and further addition of cartilage graft to your dorsum will adversely affect this. Your nasal width has not changed and one has to assume that your osteotomy if you had one, was not successful. A low lateral osteotomy should correct this.
Video Rhinoplasty: You can add to your bridge to make it normal or just narrow what you have
I would really have to see more pictures form the side. But you should be able to narrow your nose through shaping the bone. Yes adding structure to your nose can narrow the nose but you have already had it taken down. I think just narrowing your nose would be sufficient. Also adding to your nose won't always make your nose thinner. You have to know what you are doing to achieve that. I've seen cartilage added that keeps the nose the same thickness!
Thanks for reading, Dr Young
AS you take down the dorsal height, it can give the illusion of a widened dorsum and if you had osteotomies, it is often difficult to narrow it any more. A dorsal onlay graft may or may not givet he illusion of a narrower nose with the lose of the lower nasal height that you achieved from your previous rhinoplasty.