Will a rib rhinoplasty give me a successful frontal change? (Photo)

Question

Will a rib rhinoplasty give me a successful frontal change? My biggest insecurity is my wide nasal bone a droopy tip. I don't want my bridge to be to high, I'm want it to look as natural as possible. Will an additional osteotomy be needed or should a rib rhinoplasty augmenting bridge and tip be adequate?

Marc Polacco, MD · Answer

Thank you for your question. It all really depends, and a detailed conversation with your surgeon is important. Typically osteotomies are needed to narrow the nasal bones. If this is your first time having surgery on your nose, you may not require rib grafting to achieve the result you're aiming for, which would be a bonus. Based on your photos, the tip doesn't appear to be all that low. It could be rotated a little, but I'd be careful to as to avoid over rotation. There are many different ways to perform a rhinoplasty, and the answer you get may be different from surgeon to surgeon. Regardless, I hope this is helpful, and all the best to you.
-Dr. P

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos you nose is wide, tip of your nose is very deprojected. For gain more projected, narrow and elegant looking I recommend you rhinoplasty with alar base plasty. For the rib cartilage your surgeon will decide it in the surgery after see inside your nose. It would be more convenient to decide with face-to-face consultation. Best Regards!

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Thanks for the questions. A rib for dorsal augmentation can perform very well. It will raise your bridge on profile view, though the degree to which it does can be adjusted. If the graft is narrowed, it will make the frontal view appear more slender. Osteotomies are an option if the profile is set to where you want it. The midvault could be narrowed as well avoiding the need for rib (only use septum instead if enough is present). Tip refinement would involve dome sutures, grafting, and likely projection of a 2-3 mm to accomplish narrowing. Seek consultation with a facial plastic surgeon who performs rhinoplasty often. Hope this helps!

Zoran Potparic, MD · Answer

It is very hard to decide whether you need dorsum augmentation at all? No doubt that tip improvements and support by means of cartilage grafts are needed, as well as narrowing of the nose by means of osteotomies. Second opinion, in person consultation, with a board certified plastic surgeon with good reputation in rhinoplasty-ethnic rhinoplasty, is recommended. Good luck

Robert Singer, MD · Answer

Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty. What would be the best option and exact procedure would depend on an in person examination (not just an online consultation) and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do and how technically to do it based on limited photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

Will a rib rhinoplasty give me a successful frontal change? (Photo)

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Answer: Ethnic rhinolasty

Answer: Will a rib rhinoplasty give me a successful frontal change?

Answer: Will a rib rhinoplasty give me a successful frontal change?

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Will a rib rhinoplasty give me a successful frontal change? (Photo)

Answers (9)

Answer: Ethnic rhinolasty

Answer: Ethnic rhinolasty

Answer: Will a rib rhinoplasty give me a successful frontal change?

Answer: Will a rib rhinoplasty give me a successful frontal change?

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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.