Can I add a Dorsal Hump and some length back to my nose???? (photos)

Question

The dorsal hump was very small, but now my bridge looks so wide and flat and my nose looks way too short. Everything looks way flatter and the nose looks too short for my face. Is it possible to get my nose looking like it was before?? The sides of the nostrils also flare out now and are much flatter. The first 4 photos are before and the last 4 photos are after. Please, I just need to know if it is possible or not?? I can't live with this short flat nose. Please help

Samuel Lin, MD, FACS · Answer

A profile (side) view is also helpful to see the nose from another angle.  Ultimately, any revision rhinoplasty can involve placement of a structural implant or cartilage to help build up a profile potentially.  Also just as important is the preservation of breathing in any rhinoplasty, both primary and a revision case.

William Portuese, MD · Answer

It appears that osteotomies were not performed in the nasal bones after the hump removal. To narrow the bridge line requires medial and lateral osteotomies to shift the nasal bones inward. The tip of the nose can also be refined with a combination of conservative cartilage removal or suture techniques applied to the lower lateral cartilages of the nasal tip. Revision rhinoplasty is a very difficult endeavor, so choose your surgeon very wisely based on extensive experience with osteotomies.

Jeremy B. White, MD · Answer

I'm sorry to hear about your postoperative issues. It is hard to make an operative plan without more views from the side and base of the nose, but yes, bone or cartilage that was removed can be put back in by placing grafts from the nasal septum, ear cartilage, or rib (if a lot of cartilage is needed). It is possible that you might just need osteotomies done, if they weren't done in the original surgery, but I would not be able to tell without a live consultation. It is also not clear as to how long ago your original surgery was, but I usually do not recommend revision rhinoplasty until at least 1 year after the initial operation in order to give enough time for healing to take place and swelling to resolve.

Robert S. Schmidt, MD · Answer

Thanks for your question. So sorry to hear about your post-op trouble! This is definitely something that can be improved. I agree- your nose looks wider now. This can happen when a hump is removed. Think about the nasal bridge as a capital "A" When you take the hump off, it's like the very top of the "A" is removed (remove the upper part, which looks like an upside down "v"), which leaves a wide, flat area that technically is just as wide as it ever was, but looks wider now because the narrow part was removed.Anyway, this can be improved. You need osteotomies to bring your nasal bones in and narrow your nasal bridge. This can probably be done through a closed approach so the recovery should be pretty straight forward. Good luck!

Can I add a Dorsal Hump and some length back to my nose???? (photos)

Answers (4)

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