Is my nose bridge low and alar base wide? (Photos)

Question

Only considered tip plasty but consultation doctor suggested otherwise. I've been considering rhinoplasty to reshape my bulbous tip and narrow my nose bridge, however the doctor I consulted with also suggested goretex implant for bridge + alar reduction. Are these procedures necessary for me? Although it does look visually flat from front I think it's caused by the wide nose bridge, and narrowing it would help with the flatness, please let me know your thoughts.

Celal Alioglu, MD · Answer

Hello you don't need to have a whole surgery if I correct only tip of your nose your view will look better

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. Based on your photos, you appear to be a candidate for rhinoplasty, specifically, to address your bulbous tip and enhance your nasal bridge. To best determine the right surgical approach to achieving your desired goals, a personal evaluation is necessary. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have the skill, knowledge, and experience when it comes to the aesthetic and functional components of the nose while having an eye for facial symmetry and balance. Your surgeon will evaluate your nose, recommend the best approach to address your concerns and goals, use digital photography to show projected results, and help ensure the best possible results.

Donald B. Yoo, MD, FACS · Answer

Based on your photos, it does appear that a rhinoplasty would make a nice change to your overall appearance. For a taller bridge, DCF (Diced cartilage fascia) provides permanent results without the risk of warping or resorption of en bloc rib cartilage, and with a much lower rate of migration, infection, or extrusion than synthetic grafts. With a rhinoplasty surgeon experienced in this technique, diced cartilage wrapped in fascia is a consistent, reliable, long-lasting technique for creating dorsal augmentation with excellent results. While there are a variety of approaches and techniques employed by various surgeons, it is up to you to do your due diligence to find a rhinoplasty specialist in order to achieve the best results possible. Good luck! @drdonyoo @asianrhinoplasty

Man Koon Suh, MD · Answer

Thank you for your question. Narrowing your nose bridge might make your nose look slightky more defined from the front, but I wouldn't expect a great effect by performing osteotomy only. For the best effect I would advise bridge augmentation with implants (silicone or cartilage) and tip plasty. Alar base reduction doesn't seem to be necassary.

John Michael Thomassen, MD · Answer

There would be several ways to address your nasal shape.  I would recommend the more conservative approach of doing osteotomies to narrow your bridge as well as alar sill reduction to narrow your alar base.  Along with tip refinement techniques this would give you a nice result without the risks of implants.

Ronald J. Edelson, MD · Answer

The alar reduction is definitely worth considering. You don’t need a dorsal implant. Your bridge is high enough

Is my nose bridge low and alar base wide? (Photos)

Answers (6)

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