I had a small bump removed that used to lay directly where my bridge started. Now, with it gone, my nose looks much wider and flatter. It has been six months since my primary - is there any way to make my nose less wide and flat? Is it possible to have the bump put back?
Answer: Repairing a wide nose after hump removal
The answer is absolutely. Essentially when taking down a dorsal hump deformity, if too much is removed, you create what is called an "open roof deformity." The nose goes from a triangular shape to a rectangular one. If recognized appropriately at the time of surgery, or is planned for, then lateral osteotomies will renarrow the dorsum and recreate a triangular shape. At this stage now, what you may benefit from is both augmentation of your dorsum to give you more height and better shape as well as osteotomies. Visit with your original surgeon to discuss these issues and see if improvement can be made or seek a second opinion from a specialist who has a high degree of success with revisional surgeries.
Helpful 3 people found this helpful
Answer: Repairing a wide nose after hump removal
The answer is absolutely. Essentially when taking down a dorsal hump deformity, if too much is removed, you create what is called an "open roof deformity." The nose goes from a triangular shape to a rectangular one. If recognized appropriately at the time of surgery, or is planned for, then lateral osteotomies will renarrow the dorsum and recreate a triangular shape. At this stage now, what you may benefit from is both augmentation of your dorsum to give you more height and better shape as well as osteotomies. Visit with your original surgeon to discuss these issues and see if improvement can be made or seek a second opinion from a specialist who has a high degree of success with revisional surgeries.
Helpful 3 people found this helpful
October 13, 2011
Answer: Revision Rhinoplasty Is Necessary
Hello, Manhattan friend.
What you are describing is a classical situation. When the bump was removed, it may be that the nasal bones were not moved closer to each other. Thus there is the illusion of increased width ( the nose is not wider, just looks that way since there was no narrowing done.
Then, there is the flatness, as if someone came along with a sword and sliced off the bridge of your nose. In a sense that happened.
Here is the good news: it can be fixed. The next surgeon will merely move the two nasal bones closer to each other. You then should have a more narrow nose and the mobilized bones, when they come together will restore the normal anatomical relationship.
Remember, seen from " below", the bridge of the nose is triangular shaped. What you have now is a nose that is in the shape of a trapezoid. Not exactly what Nature planned. But, salvageable.
- Robert Kotler, MD, FACS
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Helpful 2 people found this helpful
October 13, 2011
Answer: Revision Rhinoplasty Is Necessary
Hello, Manhattan friend.
What you are describing is a classical situation. When the bump was removed, it may be that the nasal bones were not moved closer to each other. Thus there is the illusion of increased width ( the nose is not wider, just looks that way since there was no narrowing done.
Then, there is the flatness, as if someone came along with a sword and sliced off the bridge of your nose. In a sense that happened.
Here is the good news: it can be fixed. The next surgeon will merely move the two nasal bones closer to each other. You then should have a more narrow nose and the mobilized bones, when they come together will restore the normal anatomical relationship.
Remember, seen from " below", the bridge of the nose is triangular shaped. What you have now is a nose that is in the shape of a trapezoid. Not exactly what Nature planned. But, salvageable.
- Robert Kotler, MD, FACS
Author, SECRETS OF A BEVERLY HILLS COSMETIC SURGEON
Helpful 2 people found this helpful