My nose bridge is very wide and boney, what could be done to fix it? (Photos)

Narrowing a nose involves a combination of techniques that involve all anatomic aspects. These techniques including both medial and lateral osteotomies with infracturing (breaking the nasal bones and moving them in), refining the nasal tip cartilage and thinning the skin. Each aspect of the nose must be addressed in order to achieve a harmonious result.

Hello,Thanks for your question. If you are only concerned about the width of your bridge, you could have osteotomies (surgical bone fractures) performed to reposition the nasal bones into a more narrow position. If your tip width bothers you as well, you would need a tip rhinoplasty to narrow the tip for proportional change to the nose. Make sure that you consult with an experienced rhinoplasty surgeon for an evaluation, photos, and simulations to better understand your options. Good luck,Dr. Shah

Click on the "Web reference" link, just below my response, or go here:
FacialSurgery.com/RealSelf/RealSelf_JD16484.html
I made a computer morph of your nose, and an animation of the morph, to show the changes that are possible for your nose in truly expert hands.Mostly, I narrowed the boney part of your nose. Those bones are frequently moved closer to each other, and it would be an especially important part of your operation.In the morph, I also narrowed the tip of your nose a little bit. It's the bridge that looks so wide right now, but it seems to me that if the bridge is narrowed strongly, the tip will look wider, and narrowing the tip, at least a bit, would be important, too.I'd love to hear what you think of the morph.
You should understand that the changes I demonstrated in the morph require advanced techniques, techniques that most plastic surgeons cannot handle.  Be sure to read the section in the "Web reference" link on how to stay out of trouble while searching for a rhinoplasty surgeon.
Your nose is also a good example of why computer imaging is mandatory in rhinoplasty. You need to know exactly what the surgeon is planning to accomplish -- what features he thinks he can change, and by how much he thinks he can change them. When you see his goals, you'll know whether he has an eye for a beautiful nose, and whether he shares your opinion of what constitutes a beautiful nose. You'll also know whether the changes he proposes are enough to be meaningful to you, and whether he understands your wishes enough to address all of your priorities. But remember, you're not hiring him for his skills with the computer. The doctor must then show you his before and after photos to prove that he can actually accomplish what he draws on the computer.

Your photos reveal a wide nasal appearance involving the upper, middle, and lower thirds of your nose. Rhinoplasty techniques may be used to narrow your nasal bridge and tip for a less distracting nasal appearance. Consultation with a rhinoplasty specialist may be helpful to see if surgery might be right for you. Hope this helps! Dr Joseph

The top of your nose, the base of your nose, and the tip of your nose can all be narrowed without changing your profile substantially.  It will look nice if properly planned and executed by an outstanding surgeon.  My approach would be open.  The upper lip is as vertically long as it can be, and if disregarded, may drop more after rhinoplasty.  I would elevate it slightly during your nose surgery for a thicker and fuller upper lip.  It will match your lower lip nicely.

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from osteotomies to narrow your mid nasal vault.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hi there, thanks for your question and sharing your photos.  You will likely benefit from rhinoplasty with osteotomies to help reduce the overall width of the bony bridge of your nose.  Of course, this will mean the rest of your nose will also need to be adjusted to match the narrowed bridge in order to keep everything in proportional balance.  Please consult with some experienced rhinoplasty surgeons to find the best to match your needs and good luck!

Yes,from your photos, I believe you are a great candidate to enhance your nose. Regarding your concern, it could be fix with this surgery. Just be sure to go to a certified doctor. Best regards

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 two dimensional 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

A closed rhinoplasty approach can accomplish narrowing the bony bridge with all of the incisions placed on the inside of the nose.  Osteotomies placed in the nasal bones accomplish narrowing the upper two thirds of the nose which include the nasal bones and the upper lateral cartilages.  The bulbous nasal tip can also be narrowed as well to make sure that  all components of the nose stay balanced with each other, and  the new nose balances with the patient's facial features. Rhinoplasty is a very difficult endeavor,  so choose your Surgeon very wisely based on extensive experience. For more information and many  before and after examples of narrowing a wide nose bridge with closed rhinoplasty, please see the  link and the video below