Rhinoplasty open roof; if you hypothetically put each wall to its respective side what is below the bones?

hey docs I had a large dorsal hump removal and I feel like a small small gap on my bridge where only my fingernail can barely fit into it but before my rhinoplasty it felt completely different... My facial plastic surgeon said it is actually common sometimes after a dorsal hump removal but he did osteotomies so it is all fine he said..anyway just curios what is below this gap is it just emptyness..... if you hypothetically put each wall to its respective side what is below the bones... tissue?

Doctor Answers 5

Open Roof after Rhinoplasty

Fracturing and repositioning of the nasal bones is usually done after removal of a hump. As long as you can't see a separation of the bones or a wide bridge it ia not important that you can feel minimal separation.


Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Rhinoplasty open roof; if you hypothetically put each wall to its respective side, what is below the bones?

Medial and lateral osteotomy's of the nasal bones are usually required to close the open roof created from the hump removal. You may feel slight irregularities along the bridge line which are not worrisome. If you can visibly see the gap, then revision osteotomies may be required. Below the open roof is simply open nasal cavity.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 129 reviews

Open Roof

Thanks for posting this interesting question. When a bump is removed, one of two things happen. Most commonly, the under-lining of the bone (called periosteum) is exposed. It is soft.  Occasionally, if a huge bump is reduced, the nasal cavity is actually entered. In either case, the nasal sidewalls are then tipped inwards to close the open roof (breaking the bones).  If the open roof is not fully closed and you feel something soft, you are likely feeling collagen (soft scar) between the bones.

Benjamin C. Paul, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

Rhinoplasty , some advices:

Thanks for the question.

for better advices i recommend you to send your photos to us.

Kind regards 

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 176 reviews

What is below bones?

Below the caudal aspect of the bones are porrtions of the upper lateral cartilages and on the upper region there is periostieum, a mucosal surface which then makes-up the nasal airway.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.