Height of nasal bone: can the nasal bone be re-fractured or "built up" so that it looks better?

Question

I'm a male and had my first and only rhinoplasty almost 20 years ago. At that time, the doctor set the nasal bone somewhat low, so the nasal bone seems "sunken in" underneath my forehead. Can the nasal bone be re-fractured or "built up" so that it looks better? The tip of my nose protrudes more than the nasal bone itself protrudes, if that makes sense. I'm wondering if I change the angle of the nasal bone if I would have a better-looking side profile and frontal view.

Andrew Miller, MD · Answer

You can certainly build up the bridge if necessary. It's hard to say for sure without photos or an exam. The thing to do is to see an experienced rhinoplasty surgeon for a consultation. Then computer imaging can be done to give you an idea of what can be done.

John Layke, DO, FACS · Answer

The short answer to this question is yes, the bridge of the nose from the radix (area between the eyes) to the tip can be built up with the appropriate use of cartilage.  I recommend consulting with a Board-Certified plastic surgeon experienced in rhinoplasty.  A 3D Simulation can be created to show you what your outcome could look like.

Tanveer Janjua, MD · Answer

A dorsal graft on the nasal bone can built it up and improve the profile. A bone itself cannot be built up but adding cartilaginous graft can improve the height of the bone to achieve the same objective. RegardsDr Janjua

Jarrod Little, MD · Answer

A typical male nose has a relatively flat nasal dorsum.  There are multiple options if the dorsum is too low.  It can be raised with septal or ear cartilage grafts, and/or rib bone grafts.  Raising the nasal dorsum will often give the appearance of less tip projection.  As always it is important to personally consult with a board-certified Plastic Surgeon who specializes in rhinoplasty procedures.

William Portuese, MD · Answer

When the nose bones are fractured, there brought inwards to narrow the bridge line. To build up the bridge on requires a cartilage graft placed on the top of the nasal bones. Also important to know if there's any cartilage left over on the inside of the nose for potential grafting purposes.

Steven Wallach, MD · Answer

If the dorsal height is low, often grafting the dorsum with cartilage can augment the dorsum and "lift it up."

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,Building up the bridge can be performed in several different ways. However it is difficult to make any decisions without seeing your pictures first or examining you. Refracturing bones is not the answer but there are several other options.Best,Dr.S.

Height of nasal bone: can the nasal bone be re-fractured or "built up" so that it looks better?

Answers (7)

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