Abnormal Nasal Bone Thickness and Hollow Eyes? (photo)

Question

As you can see in the photos, my nasal bone shape is very abnormal and looks deformed. it causes deep, purple hollow tear troughs that i have to cover with makeup, but shadows still show it. It makes me very self conscious. Do i need an osteotomy? Fillers? i am only 19 and have always had ugly sunken eyes which everyone comments on, and they make me look old, ill, and tired. Please help.

Jamil Asaria, MD · Answer

Dear Cambrise,

	Rhinoplasty surgery can be used to narrow the base of the nasal bones. It likely will not impact the hollowing under your eyes, which is likely a hereditary feature. At your age, a small amount of temporary filler in the region can be injected carefully to soften the hollowing. I think it would give you a very nice result.

	Best wishes,

	-Dr. Asaria

Kenneth Hughes, MD · Answer

The reduction of the nose with osteotomies will narrow the nose as you have suggested. The tear troughs can be filled with Restylane to produce a nice improvement. Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year. Kenneth Hughes, MD Los Angeles, CA

Nima Shemirani, MD · Answer

Dear cambrise,

	
		If you are thinking about a rhinoplasty, it would involve resetting the nasal bones among other maneuvers to make it proportional
	
		If the eyes are still an issue after surgery, some temporary filler can be used, but I would wait and address these issues one at a time
	
		When you are ready, please visit a rhinoplasty surgeon who can address your concerns and answer all of your questions


	Best regards,

	Nima Shemirani

William Portuese, MD · Answer

a rhinoplasty can address narrowing the nasal bones through a technique called osteotomies. Any other adjustments to the tip and bridge line and hump removal could all be performed at the same time if needed. Please see our photo gallery for other noses is similar to your own. Virtual rhinoplasty software is also available on our website for you to try out.

Richard W. Fleming, MD (retired) · Answer

Your bridge is wide but can be narrowed with osteotomies during a rhinoplasty. The groves below your eyes, adjacent to your nose can be filled with fa grafts or a product like Restylane. The grooves are an inherited characteristic; I've injected fat in young ladies like yourself with excellent results.

Abnormal Nasal Bone Thickness and Hollow Eyes? (photo)

Answers (5)

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