Narrowing Nasal Bridge & Tip

Is it possible to narrow/thin the bridge of the nose without using any grafts or breaking any bones? Also, what procedure is commonly used to narrow a broad tip?

Doctor Answers 5

Non-Surgical Rhinoplasty can effectively narrow the nose.

Hey debz,

Thanks for your question. The answer is no and yes. While you cannot narrow the bridge without breaking bones surgically, you can narrow the appearance of the nose with NS Rhinoplasty.

How? By applying fillers to the apex of the nasal bridge.

When you add definition to the top of the nose, a smoother, narrower contour of the nose is emphasized. This helps it appear slimmer and more prominent. (Think about it this way: it’s kind of like adding the tip to the top of a pyramid. It’s a centerpiece.)

Discover more about the results you can get with non-surgical rhinoplasty in our video. Our photo gallery has more detailed information to help in your research. Hope this helps!

Stay Beautiful,

Dr. Mabrie

Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 105 reviews

Rhinoplasty without breaking the nasal bones

Don't get fixated on whether or not the bone will be broken during the surgery.  A variety of techniques is available to the surgeon but the method used to improve the appearance of the nose will be dependent on its condition, including whether the problem has resulted from a cartilagenous or bony defect, or both.   The same concept is applicable to thinning the nasal tip, including a strut or tip graft or thinning the tissues.  Seek a consultation with a board certified plastic surgeon or ENT who can clarify what options will be available in your particular case.  All noses are unique and require an individualized approach.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 39 reviews

Narrowing the nasal bridge and tip

There are many techniques that are used to narrow the nasal tip.  This can be done through either closed or open rhinoplasty.  Suturing techniques of the nasal tip cartilages to narrow the area include intradomal and interdomal suturing.  Cartilage can also be removed from the lower lateral cartilages of the tip to narrow and refine the tip itself.  Narrowing the tip and the bridge does not require any cartilage grafting.  The only reasons the nasal bones are broken is to narrow the bridge, not the tip.  

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 143 reviews


The upper half of the bridge is composed of bone and the lower half of cartilage. Breaking the bones is a bit harsh in terms of describing the bridge narrowing procedure. That implies the process is not fully controlled. In reality the bones are freed up from their base and then moved towards the midline with the surgeon's fingers. There really is no other way to narrow the upper bridge. You cannot rasp or burr it down because the issue is not bone thickness.

Without a photo or face to face exam it is not possible to say what is contributing to the "broad tip" and therefore what procedure would be applicable. If the broadness is in the part of the tip furthest out from the face that is generally addressed by suturing the C-shaped cartilages in the tip together. If the broadness is at the part of the tip closest to the lip that is generally addressed by removing a small pieces of skin at the outer base of the nostrils.

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.

Aaron Stone, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 1 review

Rhinoplasty or Nose Job for wide nasal bones

Hello Debz: Each patient is different and what technique is used to narrow the nose bridge depends on the patients unique nasal anatomy. Usually the nasal bones are narrowed by breaking the bones but sometimes the portion of the nasal bridge that is wide consists of cartilage and not bone. In such a case, the bones would not need to be broken but the cartilage of the nasal bridge would need to be reshaped and sculpted surgically. There are various procedures used to narrow a broad tip and again the technique used depends on the patient's unique anatomy. Techniques that I commonly use are cephalic trim, columellar strut graft, tip graft and vertical dome division. Sometimes these techniques are used individually and other times, they are used in combination. Of course, whenever you are narrowing the nose, it is important to preserve the function of the nose to enable you to breathe properly and a good rhinoplasty surgeon will be skilled at preserving function as well as reshaping the outside of your nose. My best, Anita Mandal, M.D.

Anita Mandal, MD
Palm Beach Facial Plastic Surgeon
5.0 out of 5 stars 2 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.