Is there any way to do an out fracture osteotomy to widen my nose and make it way more convex like how it used to be? (Photo)

Question

I had a septorhinoplasty and my nose is SOOO MUCH thinner that what I used to be be and I absolutely HATE IT!!. I know the doctor performed an in fracture osteotomy, but is there any way I can get a revision and get an out fracture osteotomy with spreader grafts to widen my nose? Do rib spreader grafts keep the nose stiff? How thick in mm do the spreader grafts need to be to hold everything in place if an out fracture is performed? Is it very risky since my bone will technically be broken again?

Brian M. Harmych, MD, FACS · Answer

Thank you for sharing your question and photo. There are too many specific questions to attempt to address on this forum and your photograph only shows a tiny section of what appears to be your nose. The concern describes is not visible. The most appropriate next step would be to consult with an experienced board certified surgeon that performs a lot of rhinoplasty and revision rhinoplasty operations. A thorogh physical examination (both internal nose and external nose) would be required to answer your questions. After a thorough examination and reviewing the operative report from your primary rhinoplasty, the surgeon should be able to explain accurately what a revision rhinoplasty would entail, including the individual techniques that might be employed. In general, osteotomies are required in revision rhinoplasty if the nasal bones need to be straightened, narrowed or widened. Spreader grafts, like any graft material may make the nose feel slightly more "stiff", as one might expect since the goal of spreader grafting in to improve the structural integrity of the nasal dorsum. Spreader grafters my widen the nose. Although, there are techniques that could be employed when placing spreader grafts that may not result in widening the external nose. In terms of risk, the revision rhinoplasty is inherently more risky than the primary operations. I think that addresses all of your questions. I think you'd find an in person consultation informative. Thank you again for sharing. Kind regards, Dr. Harmych

Is there any way to do an out fracture osteotomy to widen my nose and make it way more convex like how it used to be? (Photo)

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Everything you need to know about Revision Rhinoplasty

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Is there any way to do an out fracture osteotomy to widen my nose and make it way more convex like how it used to be? (Photo)

Answers (1)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.