How do you fix wide lateral walls?

Question

I’ve had a revision rhinoplasty and i am not happy with the results. My lateral walls are extremely wide now one side is bowing out and the lateral walls are almost under my eye and it’s as wide if not wider that my tip. The surgeon placed a dorsal onlay graft on my bridge which is not quite straight and is showing at the radix area. I have spreader grafts too. Would osteotomies fix the wide lateral walls. I do not want to reduce bridge height so im worried the osteotomies would do this.

Eric M. Joseph, MD · Answer

That said, it sounds as though your rhinoplasty surgery was somewhat complicated with an onlay graft and spreader grafts. Spreader grafts inherently lead to widening of the middle one third of the nose.He's considered re-asking your question with photographs for a more definitive response from the experts. Thank you. Dr Joseph

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.Unfortunately without photos it is very hard to make an evaluation. But from my experience, most of the time we use rib cartilage reconstruction (and sometimes external graft) to reshape the tip and for the lateral walls you may need an alar base reduction. But as I told you without your face photos it is not possible to make an appropriate evaluation.

Randal Haworth, MD, FACS · Answer

Hello !

I'm sorry to hear that you're not happy with the results of your revision rhinoplasty. It sounds like you may benefit from additional surgical intervention to address the width of your lateral walls. Osteotomies, which involve breaking and resetting the bones of the nose, can be effective in narrowing the nasal bones and reducing the width of the nose. However, it's important to note that osteotomies can also affect the height and overall appearance of the bridge of the nose, depending on the specific technique used and the extent of the surgery.

If you do not want to reduce the height of your bridge, you may need to explore alternative techniques or approaches to address the width of your lateral walls. This may involve revision surgery to remove or adjust the existing grafts, or the use of additional grafts or implants to provide additional structural support and improve the overall appearance of your nose.

Ultimately, the best course of action would be to consult with a qualified plastic surgeon or healthcare provider who has experience with revision rhinoplasty and can assess your individual case and provide personalized recommendations based on your unique needs and circumstances. They can also discuss the risks, benefits, and expected outcomes of each option to help you make an informed decision.

I hope this helps,
best of luck !

How do you fix wide lateral walls?

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How do you fix wide lateral walls?

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.