What causes sharp edges on nasal bridge? (Photo)

Question

Is this just bones sliding back to their original position?

Stephen Kleid, MBBS, FRACS · Answer

I assume you have had a rhinoplasty, or a nasal injury, that has caused a sight bump or irregularity in the nasal bones to appear.The skin over these bones is thin.Sometimes, these can be smoothed off under local anesthetic, with a needle to scrape the bump flat (it is just done in the chair of the surgeon's office, but can take 2-3 sessions to become smooth enough to not be visible) )

Sergei Kalsow, MD · Answer

Hi, I am assuming you had a rhinoplasty before.  When bones are adjusted during a rhinoplasty, they are broken, and if the break is a certain way, the edges of the break become visible, giving the sharp edges.  In this case, if it bothers you a lot, you can have a secondary rhinoplasty to rasp the edges to smooth them out.  Sometimes it is not visible during the first surgery due to swelling.

Lucian Ion, FRCS · Answer

Thank you for your question. As you can see, the visibility of these contours in your case is more limited and requires some tension in the skin to show it. In some instances, these contours appear more visible.

In general, positioning the nasal bones closer to the midline after the bones are reset poses some difficulties. In my experience using manual instruments versus ultrasonic instruments in rhinoplasty makes it more difficult to create a good contour continuity. It is also possible to stitch the nasal bones together after the bridge height has been reduced to create smoother contour. Overall, I have found ultrasonic rhinoplasty to be of benefit for control of the bridge shape.

In the end, it is also fair to say that no technique offers 100% guarantee of control of the nasal shape. The displacement that you are discussing, would have happened in the early stages after the surgery, probably whilst the cast was still in place. In the early stages, the swelling of the skin masks their appearance and they become more noticeable as the swelling decreases. There is no secondary sliding of the bones towards the original position after the first 10 days from surgery as the relocated nasal bones are fused in position quite quickly.

It is possible to camouflage the contour irregularities with injectable filler. Otherwise, surgical intervention can also produce a smoother contour. If visibility of the irregularities is only when the skin is under tension, there is relatively little value to further intervention.

Eric M. Joseph, MD · Answer

You appear to have relatively thin nasal skin that will show underlying nasal irregularities more than thicker skin types. If this is a source of concern, improvement may be achieved with either rhinoplasty, or non-surgical rhinoplasty, depending on your examination. Thank you. Dr Joseph

What causes sharp edges on nasal bridge? (Photo)

Answers (4)

Answer: Visible bone edges on your nasal bridge...?

Answer: Visible bone edges on your nasal bridge...?

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Everything you need to know about Rhinoplasty

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What causes sharp edges on nasal bridge? (Photo)

Answers (4)

Answer: Visible bone edges on your nasal bridge...?

Answer: Visible bone edges on your nasal bridge...?

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.