Revision rhinoplasty to widen nasal bones and bridge?

Yes, it is possible to widen the upper bridge during revision rhinoplasty. This requires mobilizing the "side panels" of the bridge and then placing cartilage grafts that will allow the bones to heal in a wider position. This will also likely improve your breathing.

Hi @Anony45. Yes, it is possible to widen the upper bridge during revision rhinoplasty with cartilage grafts. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck, Dr. Nima.

Depending on your specific anatomy, it may be possible to widen the nose surgically with spreader grafts, onlay grafts, and other techniques. However, if the desired correction is minor enough, a non-surgical approach with injectable fillers may be a good option. In those cases, I usually start with a temporary filler like Juvederm to make sure that the patient and I like how it's going to look. If that's effective, then the results can be made more long-lasting with a permanent filler like Bellafill. I'll even use these fillers from time to time AFTER I've performed a surgical revision just to provide some final minor tweaks and adjustments.

Best of luck,

--David C. Pearson, M.D.,

Pearson Facial Plastic Surgery®

A full set of facial photographs are going to be required to make a determination about how best to proceed, since revision rhinoplasty is the most difficult operation to perform correctly in the entire field of cosmetic surgery. There's no perfect nose, only improvements. Medial osteotomies with spreader graft placement are usually required to hold open the nasal bones in their new and more wide position. It's also important to know how much cartilage is left on the inside of the nose for grafting purposes