How Risky is Narrowing Nasal Bones in Revision Rhinoplasty?

Question

I had my first rhinoplasty 1 year ago (total rhinoplasty), and while I am happy with it for the most part, it appears that my right nasal bone is not as narrow as my left one. How hard would it be to correct this with a revision rhinoplasty? Would both nasal bones have to be broken or would only the right one require cutting and repositioning? Lastly, by having a secondary surgery, could the right nasal bone become even further asymmetric or is the risk for that happening low? Thank you so much

Thomas A. Lamperti, MD · Answer

Yes, you can perform osteotomies to narrow just one side of the nose. Typically, an osteotomy would need to be done laterally (where your nasal sidewall and cheek meet) and medially (where your right nasal bone meets the left on your bridge). You wouldn't have to affect the left side at all.

	The best option to address your concern would be formulated with an in person exam. This would allow for a better assessment of the rest of your nose.

Sam Naficy, MD, FACS · Answer

You should get improvement of this through right-sided only medial and lateral osteotomies. This is a quick (5 minute) procedure under IV sedation.

Eric M. Joseph, MD · Answer

I read your concern and reviewed your photos. You appear to have a slight indentation in your mid-nose on your left. You could have restoration of nasal symmetry with a well-performed Injectable Filler procedure: this could add a slight amount of volume to your left mid-bridge and help improve your appearance. In my view, this is a better option than undergoing another nose job surgery. My personal preference is to use Silikon-1000, an off-label filler, for permanent results.

	I hope this is helpful for you.

	Regards from NJ:

William Portuese, MD · Answer

Revision rhinoplasty is always more difficult than the primary rhinoplasty.  Revision rhinoplasty can include revising the tip cartilages, upper lateral cartilages, or nasal bones depending upon the patient&rsquo;s wishes, needs, and desires.  Asymmetrical nasal bones usually require some degree of osteotomy of either one or both nasal bones depending upon the presenting issues at hand.  Look for a very experienced rhinoplasty surgeon who has performed thousands of rhinoplasties prior to embarking on this type of procedure.

Steven Wallach, MD · Answer

There is always asymmetry of the nose and at least from the photos, I do not see a significant difference to warrant revision surgery.

How Risky is Narrowing Nasal Bones in Revision Rhinoplasty?

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Everything you need to know about Revision Rhinoplasty

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How Risky is Narrowing Nasal Bones in Revision Rhinoplasty?

Answers (9)

Answer: Narrowing nasal bones in revision rhinoplasty

Answer: Narrowing nasal bones in revision rhinoplasty

Answer: Nasal bone revision

Answer: Nasal bone revision

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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