Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better? (Photo)

Question

I have a crooked and droopy nose. Due to facial asymmetry it appears that the root cause is that the upper bridge of the nose is not in the centre of the eyes. There is a larger gap between my nose and right eye. I would like to get rhinoplasty but want to know if a surgeon can change the position of the upper bridge in order to create a straighter line. As you will see in the photos/video just from minor adjustment to upper bridge it has a huge change for the overall position of the nose.

Leo McCafferty, MD · Answer

Thank you for your question.  Facial symmetry is elusive and very difficult to obtain.  Also, straightening a nose that's crooked is difficult.  I think it would be difficult surgically to move your nose in the direction you desire.  Please see a board certified plastic surgeon experienced in rhinoplasty.  Good luck.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

The simple answer is yes, but it needs to be qualified in a more complex manner. First of all, if you look to align the top of the bridge based on the position of the tip, it is likely to be too close to one eye compared to the other. In your case after the correction, the bridge of the nose is too close to the right eye compared to the left.

In general, a combination of moving the top of the bridge and tip in opposing directions is the solution that is more likely to work. Ultrasonic instrumentation is in my opinion very valuable when contemplating changes like the ones you are describing.

Please bear in mind that perfect symmetry is not possible simply because everything about the face is asymmetric, not just the nose.

Zoran Potparic, MD · Answer

Based on these photos, major shift seem to be in the cartilaginous part of the nose/septum; most of deformities of this kind are that way. Surgery should involve septum shift which will place septum in the central position and correct current deviation of the nose. In person consultation with a board certified plastic surgeon, expert in rhinoplasty is recommended. Good luck.

Onur Gilleard, MBBS, FRCS(Plast) · Answer

Good question. Yes the upper bridge can be straightened a bit. Where it is over on your right it can be moved over to the left by way of high transverse and radix osteotomies. In addition septoplasty and unilateral spreader grafts will help straighten the tip and midvault respectively

Joseph Shvidler, MD · Answer

The slight tilt to the nose is likely due to skeletal and soft tissue asymmetry. Imagine that your nose is a house and the cheekbones are the foundation of the house. If the foundation is uneven, then all of the structures above that foundation will sit uneven too. looking at some subtle clues, you have a slightly deeper orbit and nasolabial fold. It is quite difficult to achieve perfect symmetry in rhinoplasty and changing nasal bridge structures alone may not accomplish this goal.

Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better? (Photo)

Answers (7)

Answer: Straightening the nose

Answer: Straightening the nose

Answer: Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better?

Answer: Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better?

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Everything you need to know about Rhinoplasty

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Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better? (Photo)

Answers (7)

Answer: Straightening the nose

Answer: Straightening the nose

Answer: Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better?

Answer: Rhinoplasty - Can the upper bridge be moved to center the nose between the eyes better?

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Recommended reading

Everything you need to know about Rhinoplasty

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