Asian Nose Bridge Too Low, Fixing Without Implants? (photo)

The best way to build your bridge is to use your own tissue, such as cartilage from your ear or rib.  If the bridge of your nose is your only concern, this could even be performed through a closed approach.  The decision to use ear or rib will depend on how high you want your bridge.  

I actually prefer using the patient's own cartilage for augmenting the dorsum in Asian and African-American patients; it lowers the risk of infection and rejection.

Given the height of your bridge, I think you would achieve the best functional and aesthetic result with rib cartilage, as ear cartilage will not provide enough material to build up your bridge sufficiently.  Costs will vary widely depending on the location, experience and skill of the surgeon.  

I absolutely agree with you that your own tissues would work better than an implant. In particular, the skin is going to limit the amount of augmentation and the forces from the tight skin would force a synthetic implant down onto the underlying bone, causing a footprint onto the bone below. This will also reduce the amount of initial augmentation.

You can go with rib or with your ears. You'll probably need both ears to get the amount of augmentation.

      Ear and septal cartilage could be used to build up the dorsum rather than the rib.  This has less morbidity and the smaller pieces do not have the issue of warping.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Asian rhinoplasty to raise the bridge only.can be done. There is no need for rib--ear cartilage with or without fascia is what I have used for 35 years with excellent results. Cost is $7000-10,000. 

Greetings;
First of all thanks for the very nice question. You have the typical  Asian nose structure. The main purpose of this type of nose is to raise the ridge of the nose and extend the tip ( increase projection ) . With these maneuvers it is possible to reduce the bulbosity and achieve a more refined and longer nose tip ). In my practise , set the rib cartilage for your nose ridge will be better. For long-lasting, applying thin-cutting rib cartilage ( Diced cartilage ) into the fascia (Stuffing graft) is usually sufficient. Furthermore, the mixing of crushed cartilage with your own fibrin ( a transfuged your blood product ) increases the permanence. With the above-mentioned technique, there is no need to use block ribs, except in cases of highly collapsed revisions. In order to increase your projection, taking out your alar cartilages, total release process and long strut graft application prolongs the tip of the nose and also prevents excessive nose rotation.I do not recommend silicone implants due to infection, displacement, expulsion, and moving and unnatural appearance.Good luck

Evening,

If you don't want to use implants then cartilage (either rib or ear if you have enough from the ear) works very well.  Though it's tough to tell for sure yours looks low enough that you may require the volume rib would provide.  In any case, make sure you get several consults before making a decision.

 

Dr. Lay

This is a very common request.  I prefer to use cartilage and tissue from within your own body to increase the bridge height of the nose instead of implants.  Implants carry the additional risk of infection, migration, rejection, and extrusion.  Please consult with a board certified specialist who can assist you in achieving the results you seek.

Your nasal bridge can be augmented without an implant. Using concourse cartilage graft, you can achieve a ncely defined bridge that looks natural and fits your face