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Can osteotomy be reversed especially the side walls and the contour? (Photos)

Inventive204742Oct 2, 2025
I'm almost 6 months post-op I used to have a wide pyramid-shaped nasal bone before surgery I want to bring back that same width and the original hump without using onlay grafts or soft tissue over bone can this be done just by re-breaking and repositioning the bone to restore both the width and the height of my old bridge ,Using cartilage on the bridge is fine for me but especially for the width my preference is not using any onlay grafts on the side walls of the bone , exacly how it was before is what im asking something that could be done and will wideing the nasal bone in theory make the bridge loose hight in response? Is it possible to get the sqme width and contor back for this part

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Dr. Alejandro Nogueira, MD
Plastic Surgeon
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Answered on Oct 19, 2025
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Andrew Miller, MD

Based on your photo, you are a good candidate for revision rhinoplasty. The hard tip cartilage pieces can be softened while giving your nose on overall nicer shape, while keeping it looking natural. Be sure to see a rhinoplasty expert for consultation.

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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include release of scar tissue, placement of extended spreader grafts for tip derotation, placement of extended alar contour grafts to help improve alar...

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Yes, a revision rhinoplasty can correct the issue. It will likely require performing osteotomies to reposition the nasal bones to the midline, along with placing a structural graft to support and stabilize the nasal tip, keeping it properly aligned.

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Based on your photos, you are a good candidate to have your columella revised. Often times, a little tip revision is needed at the same time to make everything blend well. Be sure to see a rhinoplasty expert for consultation.

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Steven M. Denenberg, MD

A ridge like that *could* be scar tissue, but scar underneath the skin would only rarely cause such a distinct shelf like that. I'd have to see the operation report, but it's more likely to be a piece of cartilage that was grafted into that position, and you're seeing the mass of the cartilage...

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It's totally true that a nose can get longer with time -- gravity gets to it like gravity gets to everything else. However, I can't tell how long your nose is right now, because the bottom of your nose is cropped off in all these photos. The fourth photo does indeed seem to show that it's *very*...

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