Can the nasal spine be rebuilt if it was removed during rhinoplasty? (photo)

Question

I had a rhinoplasty years ago that didn't give me the results I was looking for and had devastating effects on the length/ of my upper lip. One surgeon I visited thought my nasal spine may have been removed, because it holds up the upper lip. It does feel very hollow there now. Could my surgeon have removed it without knowing? If so, could it be rebuilt?

Yannis Alexandrides, MD, FACS · Answer

To answer your questions, the answer is a possible yes, this is sometimes performed during a Rhinoplasty especially if the septum is deviated, or if the interior nasal spine is overgrown.

If you wanted to increase fullnesss of the nasolabial angel, there are ways it can be done: Bone Grafting or with injectables.

Bone Grafting is when a small piece of bone is taken from another bone in your body and reintroduced into the nose. There are also injectables that mimic the appearance of bone which can give you the improvements you desire.

Finally, in certain cases, an extension of the septum can also help to length the area which can be achieve d through a Septograft.

Ronald J. Edelson, MD · Answer

It has nothing to do with your nasal spine. Your nose appears long and could be shortened if you like. Also there is a procedure called a lip lift which could shorten your upper lip

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment regarding the outcome of your procedure we need to see proper before and after pictures and preferably review your previous operative report. If you don’t have proper before, and after pictures then contact your surgeon and ask them to forward, the pictures they took, and a copy of your operative report at the same time. You can then schedule in person second opinion consultations with other providers to help you make an accurate assessment regarding the outcome.I don’t think your nasal spine was removed, nor do I think you need to have it reconstructed. 
Best,
Mats Hagstrom, MD

Can the nasal spine be rebuilt if it was removed during rhinoplasty? (photo)

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Can the nasal spine be rebuilt if it was removed during rhinoplasty? (photo)

Answers (3)

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