I have been to a consultation previously for rhinoplasty as I don't like the hump on the bridge of my nose. I was told that I have a low root and would need a graft to correct it. The surgeon also told me that he would shave the bone slightly but I am concerned about this as I think I have a small nose and don't want it to be too small. Is it always necessary to shave the bone even if the root is low? Would it not be okay to just do the graft?
Answer: Small nose You are correct, you have a small nose. You don't need the hump reduce but a cartilage graft (supra tip graft) between the tip and the hump to make the dorsum straight. Removing the hump might give you too much of a ski slope shape. Regards Dr. J
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Answer: Small nose You are correct, you have a small nose. You don't need the hump reduce but a cartilage graft (supra tip graft) between the tip and the hump to make the dorsum straight. Removing the hump might give you too much of a ski slope shape. Regards Dr. J
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Answer: Nose Grafts are the Answer Firstly, I have to emphasize that the aesthetic outcome of the Rhinoplasty must be thoroughly discussed with your surgeon before the operation. In this case, I understand that you are reluctant to lose any of the height on the profile view of your nose. To answer your question, yes it is possible to perform this operation without any shaving of the bone, but rather focus on increasing the projection. I believe that your surgeon wants to do that because there will be also a dip if he doesn't reduce the height of the mid dorsum. in my opinion, if you don't want any height loss, you would require two grafts- one in the glabella and the other in the area underneath the bump raising to the tip.
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Answer: Nose Grafts are the Answer Firstly, I have to emphasize that the aesthetic outcome of the Rhinoplasty must be thoroughly discussed with your surgeon before the operation. In this case, I understand that you are reluctant to lose any of the height on the profile view of your nose. To answer your question, yes it is possible to perform this operation without any shaving of the bone, but rather focus on increasing the projection. I believe that your surgeon wants to do that because there will be also a dip if he doesn't reduce the height of the mid dorsum. in my opinion, if you don't want any height loss, you would require two grafts- one in the glabella and the other in the area underneath the bump raising to the tip.
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January 18, 2022
Answer: Rhinoplasty for nasal bridge hump Thank you for your question and photos. In essence, the answer depends on the end result that she would like to achieve. There are 2 ways to help you decide about this: - Computer imaging and simulation can give you a reasonably good assessment of the appearance on profile. - Injectable filler treatment to the upper part of the bridge or upper part of the bridge and supratip can give you an evaluation of the correction from multiple angles. To some degree, a similar effect can be achieved also with computer imaging and simulation in 3D. The bottom line with surgical interventions for cosmetic changes is that you should avoid doing operations that you are uncomfortable with. Evaluations in preparation for surgery have become increasingly more sophisticated to help answer questions like yours. They are not perfect, but in particular when in doubt you should try and evaluate the impact of these changes before having a surgical treatment.
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January 18, 2022
Answer: Rhinoplasty for nasal bridge hump Thank you for your question and photos. In essence, the answer depends on the end result that she would like to achieve. There are 2 ways to help you decide about this: - Computer imaging and simulation can give you a reasonably good assessment of the appearance on profile. - Injectable filler treatment to the upper part of the bridge or upper part of the bridge and supratip can give you an evaluation of the correction from multiple angles. To some degree, a similar effect can be achieved also with computer imaging and simulation in 3D. The bottom line with surgical interventions for cosmetic changes is that you should avoid doing operations that you are uncomfortable with. Evaluations in preparation for surgery have become increasingly more sophisticated to help answer questions like yours. They are not perfect, but in particular when in doubt you should try and evaluate the impact of these changes before having a surgical treatment.
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January 11, 2022
Answer: Rhinoplasty Some surgeons would graft your bridge and others wouldn't. You are likely to get both recommendations. My advice? Choose the surgeon you feel you trust more.
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January 11, 2022
Answer: Rhinoplasty Some surgeons would graft your bridge and others wouldn't. You are likely to get both recommendations. My advice? Choose the surgeon you feel you trust more.
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January 19, 2022
Answer: Dorsal correction in rhinoplasty Based on your photographs, your radix (root of the nose, between forehead and nasal bones) is slightly deep which creates a lower nasofrontal angle (you can Google that term to see what it measures). This can be corrected with a radix graft to add support to this area and improve the transition between the forehead and the nose. Below your nasal bones and before the tip is the "midvault" or middle 1/3 of your nose. Based on your photographs, your midvault appears to sink in and may require cartilage grafts to build structure and support. With building dorsal support at the radix and midvault, your nasal bones may require only minimal reduction.
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January 19, 2022
Answer: Dorsal correction in rhinoplasty Based on your photographs, your radix (root of the nose, between forehead and nasal bones) is slightly deep which creates a lower nasofrontal angle (you can Google that term to see what it measures). This can be corrected with a radix graft to add support to this area and improve the transition between the forehead and the nose. Below your nasal bones and before the tip is the "midvault" or middle 1/3 of your nose. Based on your photographs, your midvault appears to sink in and may require cartilage grafts to build structure and support. With building dorsal support at the radix and midvault, your nasal bones may require only minimal reduction.
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