Nose Bridge Definition Possible Without Implants?

Question

The model below had a nose job and her bridge is much more defined. Is it possible to get a defined bridge such as below without having an implant added?

Otto Joseph Placik, MD · Answer

SEE VIDEO BELOW FOR EXAMPLES:
Although somewhat controversial and not without risks, the non-surgical rhinoplasty offers one method of enlarging the nasal bridge without an implant using a filler instead. It is temporary.

Philip S. Schoenfeld, MD, FACS · Answer

The woman you have shown is certainly beautiful and has wonderful facial features.  With that in mind, it is possible that she started with a relatively narrow nose and then had some surgical refinements. To narrow the dorsum in a nose that starts out flatter and less defined than the one that you have shown, would require a combination of dorsal grafting which can be your own cartilage (which I prefer) or synthetic material, and in this photo, narrowing of the nasal bones.

Paul S. Nassif, MD · Answer

Hello,
It is not always necessary to add an implant for definition, but depends on the circumstances.  If necessary, diced cartilage wrapped in soft tissue makes an excellent implant.
I would really need to see photos of you to give the best advice. Thank you, and best of luck.
Dr. Nassif

Toby Mayer, MD · Answer

If the bones are wide but otherwise have enough height, it is possible. If not then one must use some form of graft, which is better than silicone in my opinion based on 30 years of rhinoplasty.

Scott Trimas, MD · Answer

Building the bridge of the nose requires ample bony support. If you have nasal bones that are not too short, then your native bones can be infractured or brought closer together and this has the effect of narrowing the nose or dorsum and also adding height to the bridge like pushing the sides of a house together and making the roof more inclined. If not enough height is achieved that way, then the first choice of implants would be your own native septum cartilage inside the nose; ear cartilage and rib cartilage can also be used. I only use artificial implants as a last resort since I prefer native tissue.

Steven J. Pearlman, MD, FACS · Answer

In order to determine if someone can get a defined bridge from surgery depends on the shape and size of their nasal bones. If a patient has wide, but long nasal bones, definition can be achieved without implants. However, if the patient has small, short nasal bones and a low bridge, an implant of some sort is necessary to create more definition.

William Portuese, MD · Answer

It is possible to build the bridge of the nose up without a synthetic implant. The only way to build up the bridge of the nose in an ethnic rhinoplasty is to remove cartilage from inside the nose and place that as a dorsal augmentation across the bridge and build the bridge higher and more defined. If there is not enough cartilage in the nose, a portion of ear cartilage will have to be removed.

Steven Wallach, MD · Answer

A very well-defined bridge can be achieved through osteotomies in a person with a decent bridge to begin with. If your dorsum is too low, then you will probably need some kind of graft not necessarily an implant.

Peter A. Aldea, MD · Answer

It all depends what the "before" / "starting point" nose dorsum looks like.
The vast majority of Black and South American Mestizo noses have a depressed nasal dorsum (the opposite of a middle Eastern hump, if you will). In such cases, the only way to bring about definition and narrowing is by the placement of an onlay graft or implant (which I suspect this beautiful woman had done). Although these days,  many non-plastic surgeons prefer to inject fillers under the nasal skin (IE "nonsurgical nose job") to create the same effect.

Richard W. Fleming, MD (retired) · Answer

If there is inadequate projection of the nasal bridge, augmentation is usually necessary. After many years of dealing with this type of nose, I prefer grafts which are sculpted from the patient's own tissue and become incorporated into the surrounding nasal tissue, rather than synthetic implants.

Nose Bridge Definition Possible Without Implants?

Answers (11)

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