Simultaneous Dorsal Heightening and Narrowing

Dear Doctors, would I be able to have my nose bridge narrowed before heightening it with an implant, all in a single operation or is this impossible? Thank u!

Doctor Answers 9

Dorsal heightening and narrowing of the nose

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Without pictures it is impossible to tell if the heightening and narrowing could be done simultaneously on the nose. Asian rhinoplasty is typically an augmentation only whereas Caucasian rhinoplasty can be a combination of both; it depends on how wide and flat the existing nasal bones are prior to undergoing a rhinoplasty. Augmentation can be obtained through the patient’s own natural cartilage or through a synthetic implant, such as silastic.  

Seattle Facial Plastic Surgeon
4.8 out of 5 stars 157 reviews

Narrowing the Bridge and Augmenting Profile during #Rhinoplasty Surgery

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HI IndieDark in United States,

Yes, narrowing the bridge and building up the bridge is commonly performed at the same time during rhinoplasty surgery. Narrowing the upper third of the nose requires bone reshaping. Building the bridge or augmenting the profile requires placement of some material. Your own cartilage is the ideal material. In addition, building the bridge will also make the nose appear narrower. Speak with a rhinoplasty surgeon to help determine appropriate options for you. Best of luck.

Dr. C

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Simultaneous Dorsal Heightening and Narrowing

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It is difficult to give you any advice without seeing photos and/or performing an examination. In most cases, this may all be performed in a single surgery. Every patient has their own individual circumstances. If you wish, you may send any photos to my office and I would be happy to evaluate them for you. You may also call and schedule a consultation. My contact information is listed in my profile. Thank you, and good luck.

Dr. Nassif

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Simultaneous Heightening and Narrowing of Nasal Dorsum

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Simultaneous augmentation and narrowing of the dorsum is frequently done during rhinoplasty surgery. Rather than using an implant as you suggest, consider a graft of your own cartilage or fascia which will become integrated into the surrounding tissue.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Simultaneous Dorsal Heightening and Narrowing

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Simple answer is YES. But with out photos I can not really expound on my recommendations. Best of luck. Also seek in person evaluations from boarded surgeons in your area. 


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Often with nasal dorsal augmentation, the nose appears narrower after a dorsal onlay is placed and secured.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Simultaneous dorsal augmentation and narrowing can be very successful

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Narrowing the nasal complex at the same time as dorsal augmentation (heightening) is done very often and is usually very successful if patients are chosen carefully for the procedure.  The material for augmentation can be autologous (bone or cartilage) or it can be a synthetic implant, depending on the experience and choice of the surgeon.  

Roger J. Oldham, MD
Bethesda Plastic Surgeon

Dorsal heightening and narrowing of the nose.

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These are frequently done together, especially with ethnic rhinoplasty and revision rhinoplasty. See an experienced rhinoplasty surgeon who does this frequently.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews


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Narrowing the bridge involves osteotomies.  Narrowing the bridge itself adds a little bit of height.  If you like to keep the height where it is, then the bridge needs to be rasped down after narrowing.  If you are trying to get more height then the narrowing itself may suffice or you may need additional cartilage on the bridge to give it height.  I would avoid "implants" as they can cause infection or extrusion problems even years later. 

Shervin Naderi, MD, FACS
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 119 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.