Will the bridge be permanent?

I Wonder if asian or other who gets rhinoplasty to get higher bridge by using ear, septum or rib cartilage, Will be permanen? Will the nose shape look the samme years after years (rest of their life)?

Doctor Answers 8

Asian Rhinoplasty decisions

The most important question to answer is how you feel about your nose, since the decision to pursue elective cosmetic surgery is purely personal one.  

The safest way to achieve a natural-appearing and permanent result is with Asian rhinoplasty using autologous grafts (tissue from your own body).  It's important to maintain the proper proportions between the tip and bridge to create the most attractive results.  

If you do decide to pursue surgery, be sure to do your research and get the opinions of several board-certified surgeons experienced and respected in Asian rhinoplasty before proceeding. 

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 57 reviews

Yes, permanent

The right method to raise dorsums in any patient, a must in almost all asian rhinoplasties, is using cartilage, which stays there for a lifetime if no complications happen during the first months; as summary:

-fascia wrapped diced cartilage is a mess of a technique, unstable, unpredictable contour irregularities, unnatural touch, late resorptions, infections, pseudocysts, etc... it is trendy these years because is waaay easier the good and safe alternatives, thus making widely accessible to any limited skills surgeons the goal of raising a dorsum

-alloplastic (silicone or goretex, matrix, etc) are even worse, some almost a mess or destructive (like solid alloplastis implants)

-fillers I will not even comment, a catastrophe

-the right option for a sunken dorsum is cartilage grafting onlay piece (ear or thin slice of rib), with (thin skinned dorsums) or without (thick dermis dorsums) temporal fascia camouflage blanket graft underneath the skin of dorsum

I strongly recommend you find a real expert in asian rhinoplasties, save the money and travel wherever required.

Please do post or send privately a full set of good quality, well lit and focused standard photos: frontal, both lateral views and both oblique views, also from underneath the nostrils.

Feel free to request any additional information from me.

Alejandro Nogueira, MD
Spain Plastic Surgeon
4.9 out of 5 stars 44 reviews

Silicone or Goretex, in general, would have minimal change over time. ​​

There are ways of using diced cartilages with fascia to augment the nasal bridge but most of them are done with some kind of artificial materal (such as silicone or Goretex). So these material, in general, would have minimal change over time. 

Hyun-Taek Lee, MD
South Korea Plastic Surgeon
5.0 out of 5 stars 2 reviews


Thank you for your question. Rhinoplasty is a permanent surgical procedure intended to improve the aesthetic appearance and the structural operation of the nose. Changes to the nose can be both dramatic and subtle; but no matter what, changing your nose will improve your overall look. I suggest that you move forward and consult with a board certified facial plastic surgeon.

Best wishes,

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 116 reviews

Is Bridge Permanent after Augmentation with Cartilage?

Nasal cartilage, grafted or present since birth, will change as we age . The grafted cartilage used to augment the Asian bridge will respond to aging the same as the adjacent inherited cartilage. In that sense it is permanent.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 38 reviews

Augmentation rhinoplasty

Sara20000, nothing in life is permanent except death and taxes! See an experienced surgeon that does "only faces" and has good photos. I prefer cadaver rib for these purposes. See the video and good luck!

M. Sean Freeman, MD
Charlotte Facial Plastic Surgeon
4.7 out of 5 stars 48 reviews

Asian rhinoplasty

Augmenting the bridge with cartilage or an implant isn't permanent, if you are considering rhinoplasty, you may benefit from an in person consultation with a board certified facial plastic surgeon with expertise in Asian rhinoplasty.

Suzanne Kim Doud Galli, MD, PhD, FACS
Washington Facial Plastic Surgeon
5.0 out of 5 stars 6 reviews

Asian Rhinoplasty: augmenting the bridge and permanence

Asian rhinoplasty is a surgery to improve the shape of the Asian nose, addressing typical features: low bridge, under projected tip, acute nasolabial angle, thick skin, wide base, and bulbous tip. 

The bridge is an area of focus. It can be raised with cartilage grafts. For a small augmentation, nasal septum cartilage works. For a typical augmentation, rib cartilage works well. Ear cartilage is soft and curved, so I don't feel that it works well in my technique. After 6 months, the cartilage should be stable. After that the skin over the bridge may stretch over the graft, but it should remain stable for the rest of your life. 

I would consult with a rhinoplasty surgeon who understands the Asian nose features for a safe and happy result. Safety comes first. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.