Can I Increase the bridge of my nose by using tissue layer?

Question

HI I have had an open rhinoplasty about 1.8 years back to reduce the size of my nose but since last summer my nose shrink a lot and looks small on my face which doesnt look now im thinking about revision and I discuss with doctor he said its possible to increase the bridge By putting the later of a tissues instead of using rib cartilage or ear cartilage is it really possible I never heard about this method before please let me know thanks

Andrew Miller, MD · Answer

It is definitely possible to build up the bridge using a cartilage graft. It can also be done with an implant as well. A final thing to possibly try is a non surgical injection to build up the bridge without surgery. The important thing is to see a rhinoplasty specialist for consultation to determine what the best procedure would be.

Eric M. Joseph, MD · Answer

If you feel like your bridge appears too low after your rhinoplasty, injectable fillers may be an option, depending on your examination. We prefer using Silikon-1000, an off-label filler for permanent results. Hope this helps! Dr Joseph

Ira D. Papel, MD · Answer

Adding height to the bridge of the nose can be done in several ways. This can range from fillers (temporary), to the use of cartilage from the nose, ear, or rib. Synthetic implants have been used for many years but bring a risk of infection or extrusion. The method best for you is defendant on your unique needs and goals. Safety and efficacy must be balanced in choosing what will work best for you. Consult with an experienced rhinoplasty surgeon to help you sort out the best treatment course.

Ziyad Hammoudeh, MD · Answer

You are correct that it is possible to raise the bridge of your nose with your own tissue called fascia.  Fascia is connective tissue layer that lines muscles, and the most common location to obtain this for a rhinoplasty would from inside your scalp in the temple region where the scar will be totally hidden under your hair.  The fascia will add soft tissue thickness where it is placed.  To increase your bridge a large amount, putting diced cartilage inside of a fascia wrap would be best; the cartilage would be obtained from the rib or ear if your septal cartilage has already been used in a primary rhinoplasty.  If your bridge only needs to raised slightly or to conceal the appearance of cartilage grafts under thin skin, a fascia graft only can be used without cartilage.  For a very mild nonsurgical refinement of the bridge after rhinoplasty, you could consider long-lasting filler.
Ziyad Hammoudeh, MD

Steven Wallach, MD · Answer

Most commonly grafts from the septum,ear, or rib are used for dorsal augmentation. SOmetimes fascia is used to wrap around diced cartilage grafts, or used for some camouflage of thin tissues.

Oleh Slupchynskyj, MD, FACS (retired) · Answer

Hi,Yes you can use septal cartilage or ear cartilage to increase or raise the bridge of the nose. It all depend on how high the bridge needs to be raised, sometimes fascial grafts are used or artificial implants.Best,Dr.S.

Can I Increase the bridge of my nose by using tissue layer?

Answers (6)

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