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IF you r nose has a prominent humnp. removal will produce a flatter nose. In most instances the nose is made smaller by bringing the two outer bones together. If your preference is to keep the nose wide and flat, use of an onlay graft (spetum, ear, cartilagewill make the front of the nose flatter. IF it is already small, placement of a flat garft will create the illusion of a flat front.
Your request to have a pointy or sharp nose made less sharp is not that unusual. When you look at good rhinoplasty results, you will notice the absence of prominent lines -- whether they are along the dome of the tip or the dorsum (the vertical central line of the nose) or the bridge. It is unlikely that any onlay grafts or special steps need to be taken to achieve the results you desire. Just do your homework and find a surgeon who seems to accomplish the natural appearance you seek.
You really need to see a plastic surgeon and be examined. I am having a difficult time trying to figure out exaclty what you want achieved.Make sure you see a board certified plastic surgeon.
Flattening of the nasal dorsum is generally considered an undesirable effect following rhinoplasty. Some patients have an extremely narrow nose in the middle vault (midportion) and I suspect this is the problem you wish to correct. When reshaping the nasal dorsum the resulting width can be controlled by the surgeon. Typically, a rounded contour is obtained by rasping but an appearance of sharpness to the nose can be reduced.
what you are pointing to is relatively easy. Actually in most rhinoplasties when we use a chisel (osteotome) to remove the nasal hump the result is a flat dorsum like an airplane runway. It can then be rasped to make the edges smoother.Regards
Hi Black 30,It looks like you are illustrating a wider mid third of the nose which gives the illusion of a flatter nose from the frontal view. This can be accomplished with appropiate spreader cartilage grafts. Consult with a rhinoplasty specialist to discuss your rhinoplasty concerns.Good luck and be well, and a most healthy 2010.Dr. P