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?
Narrowing Nasal Bridge & Tip
Doctor Answers 4
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.
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.
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.