How to widen and heighten the area of nose that is seen inside red box on the picture?

Question

is it a routine work or much more difficult? Will the results last for a lifetime? I do not want anything artificial to my body.

Andrew Miller, MD · Answer

Usually several different types of grafts can be used during surgery to heighten and widen the nose.  Also, you may try non surgical rhinoplasty first using a filler to make this area bigger. That way you will see if you like it before undergoing surgery.

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

David Tauber, MD · Answer

There are a couple options for restoring or adding a slight dorsal hump to or widening the nose.

•   Bone or Cartilage Graft. Requires an operation to place and/or remove, however, once the grafts take the result is long-term. Moderate amount of downtime and recovery. More expensive.

•   Hyaluronic Acid Fillers. IE Juvederm or Restylane. Placement in the office without need for an OR, however, the grafts are only temporary and the result must be touched up every so often to maintain the result. No down time or recovery. Much less expensive.

A detailed examination will help delineate the best option. Consultation with a surgeon certified by the American Board of Plastic Surgery would be the next best step.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from cartilage onlay graft consisting of diced cartilage wrapped in fascia lata.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Barry M. Weintraub, MD, FACS · Answer

Theoretically, a cartilage graft could be used to heighten the bridge, but truly the best advice is to set up an appointment with a board certified plastic surgeon who specializes in rhinoplasties so that you can be properly examined, and the most effective plan can be developed. Please do your research carefully and find a surgeon with years of experience.

Steven Wallach, MD · Answer

Dorsal augmentation for the nose can be performed using cartilage grafts.  One would have to be seen in person to be properly evaluated.

Satyen Undavia, MD · Answer

Thanks for your question. Based on your photo you could benefit from augmentation rhinoplasty. This can be accomplished via several different methods. The surgical approach would involve cartilage grafting, and depending on the amount of augmentation required, could involve onlay grafts or if more height is needed, diced cartilage wrapped in fascia.

If you are looking for non-surgical options, the placement of filler in this area could also achieve similar goals, just keep in mind the effect is temporary and would have to be repeated. Good luck!

If you are looking for non-surgical options, the placement of filler in this area could also achieve similar goals, just keep in mind the effect is temporary and would have to be repeated. Good luck!

John Harbison, MD · Answer

joshhhi,

It would appear from the photo that you provided that you are looking for augmentation of the nasal dorsum and possibly the radix region.  These are areas that are commonly addressed with rhinoplasty operations.  There are multiple options that range from cartilage spreader graft variations, to placement of a fascia graft +/- finely diced cartilage.  Additionally the radix can be treated with fine grafts or even fillers as a non-surgical option.  The ideal method depends on your specific anatomy, airway status, and what you are trying to accomplish.  Full, standardized views and a thorough exam would be needed to say specifically what would be appropriate in your case.  Good luck.

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