Does Extending the Nasal Bridge Make You Lose the Epicanthic Fold?

Question

When I pull the skin between my eyes (as it might become when I extend the nasal bridge) it seems that the epicanthic fold is gone. Does extending the nasal bridge make you lose the epicanthic fold?

Christopher R. Hove, MD · Answer

By augmenting/building the bridge of the nose higher (i.e. through rhinoplasty), this typically would not change epicanthal folds/webs. Perhaps a small change may occur, but this would probably only be noticeable by you and nobody else. In order to change the folds/webs, a small procedure called a Z-plasty or W-plasty is needed. ---

Aaron Stone, MD · Answer

Lengthening the bridge does not affect the epicanthal folds but augmenting the radix at the top of the nose does. When your pull the skin at the top of the nose outward you will efface these folds and you are simulating the effect of a radix implant. This is a different type of implant than the implants usually used to augment the bridge.
	
	I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.
	
	My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship in order to know if this assessment is valid.

William Portuese, MD · Answer

placing a dorsal implant along the bridge line and augmenting the bridge will not affect epicanthal folds.

Stephen Weber MD, FACS · Answer

Augmenting the nasal bridge would not typically eliminate an epicanthal fold. The only reliable way to do so is to perform a small soft tissue rearrangement to get the fold to lay flat. I hope this information is helpful.Stephen Weber MD, FACS
	Lone Tree Facial Plastic Surgeon

Shervin Naderi, MD, FACS · Answer

The simple act of raising your bridge does not distort your skin the way you would by simply pulling on the skin so raising your nasal bridge should not change the upper eyelids or the asian epicanthal folds.

Does Extending the Nasal Bridge Make You Lose the Epicanthic Fold?

Answers (5)

More Rhinoplasty Questions

WE SEND PRETTY
EMAILS

Answers (5)

More Rhinoplasty Questions

Is There an Easy Revision of Droopy Nose After a Primary Rhinoplasty? Is It Just the Columella? (photo)

Haircut After Rhinoplasty - Brushed Nose? (photo)

Swelling in Bridge Feels Like an Air Bubble Almost? (photo)

Is It Possible to Remove the Excessive Lower Cartilage Without Changing the Alar Cartilage? (photo)

After Rhinoplasty: Scar Tissue and Uneven Nostrils? (photo)

2 Wks Post-op: Does my Uneven Bridge Look Like Swelling, or Could There Be Something More Going On? (photo)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS