My nose is flat and thin (Photo)
Doctor Answers 4
Unhappy with Small Flat Nose
Your picture tells little about your nose so I will respond only on the basis of your description. Please take the time to submit pictures for nasal evaluation as described on my website. A wide tip can be defined and the nasal base narrowed. Projection of the tip and profile can be increased with cartilage grafts.
Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may need a columellar strut graft and a dorsal onlay graft. Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
Open structured rhinoplasty
There is hope for your case, I would suggest the use of cartilage and fascia grafts to give your bridge projection and also to structure the rest of your nose with other cartilage grafts.
Best of luck,
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Thanks for your question. In general a flat nose is the result of short nasal bones and a relatively short septum, thus there is no support for a strong or tall bridge of the nose. In order to create a stronger dorsum in these situations a grafting material is often necessary. I typically opt for a biologic material such as septal cartilage or rib cartilage. In extreme circumstances of severe trauma I may use a synthetic implant, but very rarely. I would counsel you to consult with an experience nasal surgeon as this is not a technique that is easy performed in novice hands. Hope this helps.
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