For eyeglass wearers, can a rhinoplasty change the position of where your eyeglasses sit on your bridge?

Question

I have been told that I have a depressed bridge by all the opticians that fit me for eye wear. Can a rhinoplasty address this problem by "building up" the bridge so that the glasses sit higher up where they ideally should be? Should I be looking at a rhinoplasty with this specific concern in mind or should I just accept that even with a rhinoplasty, my glasses will just sit lower on my face?

Andrew Miller, MD · Answer

The reason to undergo rhinoplasty would be to improve the shape of the nose so that you are happier with it. If you feel like your nose is flat and doesn't have a good bridge, then building it up would be great, and you glasses would sit higher too. However if you like your nose the way it is, then it would be better to just have your glasses made to fit your face better.

Behrad Brad Aynehchi, MD · Answer

Hi thanks for sharing your question. A rhinoplasty can raise your depressed bridge which can change the position of your glasses to a more favorable position. This obviously also depends on the type of glasses and how they sit on your nose. Hope this helps. Good luck

Richard Wellington Swift, MD · Answer

Thank you for posting your interesting rhinoplasty question. The bridge or dorsum of you nose can be augmented with either cartilage or a silicone graft depending on the amount of height required. Your optometrist will be able to adjust your glasses to your augmented nasal dorsum. Digital imaging can help you see what can be accomplished with a rhinoplasty. I recommend that you have a consultation with a Board certified Plastic Surgeon who is experienced with rhinoplasty. Best wishes,
Richard Wellington Swift, M.D., F.A.C.S.

Alexander Ovchinsky, MD · Answer

You don’t want to change your nose to fit the glasses. On the contrary, the glasses are usually adjusted to fit the nose. Having said that, dorsal augmentation can absolutely be a part of rhinoplasty surgery if the main goal is cosmetic improvement of the nose. If you think that your bridge is too low and would like to make it higher for cosmetic reasons and not for the reason because opticians told you that it would fit your glasses better, then you should consider it.

Victor Manuel Agudelo, MD · Answer

Hello, Yes, a bridge height can be augmented with a rhinoplasty, but you should consider this will give a big change in the shape of your nose. If you have considered a rhinoplasty, you can address both issues on a single procedure.

Barry L. Eppley, MD, DMD · Answer

If the desire is to have a higher bridge there is no reason that can not be done as the sole reason for the rhinoplasty or as part of an overall rhinoplasty procedure. The question then becomes how much augmentation is needed and how it should be done. (cartilage graft vs implant)

For eyeglass wearers, can a rhinoplasty change the position of where your eyeglasses sit on your bridge?

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