How to Correct Hump/wide Bridge Without Making Close-set Eyes Look Worse?

Question

I’m considering rinoplasty to correct a hump on my nose. I was seen by a doctor and I was considering making the bridge of me nose smaller, is this considered width or the length? Also, I have close set eyes, how can I prevent them or make them appear further apart, should keep the sides of my nose the same and just correct the hump or do both? by both i mean correct the hump and slim out the sides of the nose.

Michael A. Persky, MD · Answer

Hi Jesse,
The bridge of your nose has both width as well as height that is made up of your nasal bones.  The length of your nose is from the top to the tip.  By lowering your bridge and narrowing your nasal bones, your close-set eyes should look better.  It is best to visit and consult with a few expert rhinoplasty surgeons, and then choose the surgeon whom you feel will best help you achieve your goals.  Only after carefully examining your nose are we able to make the proper diagnosis of what is causing your deformity that is bothering you, and then make a surgical plan to correct the anatomy.  Many rhinoplasty surgeons use computer imaging to simulate the results using different techniques.  Most importantly choose your surgeon carefully.
Good luck and be well.
Dr. P 
Encino, California

Steven J. Pearlman, MD, FACS · Answer

Often, all aspects of the nose need to be evaluated and treated for a natural result. A high bridge may give the illusion of having close set eyes. Lowering the bridge to reduce a hump can also make the eyes appear more balanced.

Otto Joseph Placik, MD · Answer

As discussed by Dr. Aldea, removing the hump or bump will open up the top of the nasal bones. An analogy is removing the longitudinal peak of an A-Frame house., This will open the roof of the nose. The two side walls can be brought in or by a sliding movement (lateral osteotomy) or by tilting them inwards (percutaneous osteotomy). This closes the opeining. The former narrows the sides of the nose decreasing the width and making the eyes appear further apart. The latter will tend to close the opening without narrowing the nose

Scott Trimas, MD · Answer

By reducing the nasal hump and simultaneously performing osteotomies to narrow and close the open roof which is formed by the hump reduction should not really change the distance between your eyes. This is especially true if everything is done in proportion. If you have small deep set eyes they may illusionally appear less deep since the nose will appear smaller the eyes will be more visible due to lack of a shadowing effect. I hope this information helps.

William Portuese, MD · Answer

The width of the nose is includes the width of the nasal bones as well as the width of the tip.  The length of the nose is measured from the tip to the nasofrontal angle (area where the nose meets the forehead, between the eyes).
When a small hump is removed, the nasal bones do not need to be narrowed.  If a large hump is removed, the nasal bones will have to be narrowed somewhat conservatively to prevent the flat top or open roof deformity, regardless of close-set eyes.  With a shorter and flatter profile of the nose, the eyes will look less close-set.

How to Correct Hump/wide Bridge Without Making Close-set Eyes Look Worse?

Answers (10)

Answer: Nasal hump reduction and intercanthal width

Answer: Nasal hump reduction and intercanthal width

Answer: Nasal hump reduction and close set eyes

Answer: Nasal hump reduction and close set eyes

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How to Correct Hump/wide Bridge Without Making Close-set Eyes Look Worse?

Answers (10)

Answer: Nasal hump reduction and intercanthal width

Answer: Nasal hump reduction and intercanthal width

Answer: Nasal hump reduction and close set eyes

Answer: Nasal hump reduction and close set eyes

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.