Is it possible to do outfracture of the nose to make it wider even if the bone is missing? To achieve a look like these photos?

Question

In these photos the girls nose is thinner because of an in fracture because of an accident. My nose is thin like this but due to aggressive rhinoplasty. Is it possible to get a result like this even if bone is missing? Can outfracture be over done? Will a LOT of packing be enough to keep the bones in their new spot? I really want my nose wide again. The sides of my nose are concave where they used to be convex ... If like the whole sides of nose widened Thank you

Donald B. Yoo, MD, FACS · Answer

While osteotomies with outfracture is one option to widen your nasal bones so that they are once again convex where they are now concave, using contour grafts to fill in the deficit may be a more predictable way to achieve the same result.  Cartilage may be harvested from your septum or ear to create grafts to restore your dorsal aesthetic lines.

William Portuese, MD · Answer

It is possible to widen a narrow nose with a closed rhinoplasty approach.  All the incisions are placed on the inside of the nose. Reverse osteotomies with spreader graft placement  to hold open the position of the nasal bones is usual performed to widen narrow nasal bones. For many examples, please see the link below

Barry L. Eppley, MD, DMD · Answer

Outfracturing of the nose bones is an unreliable method with a high propensity for the nasal bones to collapse. particularly when it is done on both sides. It can certainly be done and resorbable packing used but the nasal bones take a long time to heal to resist falling back in. That would be the risk of the procedure. Onlay grafting with cartilage grafts or even allogeneic dermis would provide a more predictable outcome in most cases.

Is it possible to do outfracture of the nose to make it wider even if the bone is missing? To achieve a look like these photos?

Answers (3)

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