Wide nasal bridge after hump removal. Could this be part of the healing process? (Photo)

Question

I had rhinoplasty ( removal of dorsal hump, bulbous nose correction and septal graft to the tip to correct short nose) 2 mths ago.. The surgeon shaved the bone as I had a small bump.I am satisfied with how my profile looks. But as time goes by, the front view starts to look a bit funny. I think my tip is pointing a bit towards my right side, bridge becoming wider. Could this be part of the healing process? Or is it what it's called open roof deformity? Much appreciated

Jeremy Hunt, MBBS, FRACS · Answer

Hi,It is too early at 2 months to make comment on the final result of the rhinoplasty, and there will be more changes to come in the next few months. As long as those changes are pleasing to see - all is well.Talk to the surgeon about the technique used, as usually a hump reduction needs narrowing of the nasal base to narrow the bridge as he hump is removed.I hope that helpsJeremy Hunt

Guy Watts, MBBS (Hons), FRACS (Plast) · Answer

Thank you for your question and images. A widening of the nasal bridge does occur when you reduce a dorsal hump due to the pyramidal shape of the nasal bones. This widening is minimised with nasal in fractures but I always discuss this occurrence prior to surgery with my patients. At present I would allow the swelling to settle and review with your surgeon. RegardsDr Guy Watts

Jawed Tahery, FRCS · Answer

Thanksmost hump removal if sizeable will need osteotomies to close an open roof, I doubt that this is the case with your surgery! Man open roof is usually palpable!i would re consult your surgeon for further advise!bwj Tahery otolarngologist / Facial Plastic surgeonChesterUK

Remus Repta, MD · Answer

Great question.  Simply shaving down or cutting the hump of the nasal dorsum naturally widens the nose since that part of the nose has a pyramid type shape.  Reshaping the cartilage in that area of in-fracturing the nasal bones is often needed to prevent widening of the front view of the nasal dorsum when the dorsal hump is removed.  This can still be done after the fact but will require a revision surgery if that is intact the case.All the best,Dr. Remus Repta

Wide nasal bridge after hump removal. Could this be part of the healing process? (Photo)

Answers (4)

Answer: Wide dorsum after hump removal

Answer: Wide dorsum after hump removal

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Wide nasal bridge after hump removal. Could this be part of the healing process? (Photo)

Answers (4)

Answer: Wide dorsum after hump removal

Answer: Wide dorsum after hump removal

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Everything you need to know about Rhinoplasty

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