How to Get Subtle and Effective WIDER Nose?

Question

I dislike my nose, even though many would consider it the perfect nose. I feel it is too narrow, in particular the upper third of the bridge bothers me. Is there a way to make this top fraction of it fleshier at the sides, I.e beside my eyes? I don't want a dramatic difference I just find my face a lot gaunter than what I want it. Would rhinoplasty be necessary or could fillers work? Also a very rough estimate price wise of procedures would be appreciated!

Howard Webster, MBBS (Hons), FRACS · Answer

Without seeing photographs of you, or examining you in person, I am taking on face value that you desire a subtle widening of the bridge and radix. 

	If that's the case, then almost certainly fillers are the answer. There are two reasons for this:  Hyaluronic acid fillers are cheap, controllable, reversible and subtle.  They will let you experience and work toward the result you are trying to achieve, and withour risk, a recovery time or anaesthesia. In the nose, the filler lasts a long time - often 2 - 3 years, in our experience.

	Depending upon how much you need, the cost would be ( in Australia) around $750 - $1500.

Kenneth Hughes, MD · Answer

Filler to widen the nose may be reasonable, but a rhinoplasty with grafting to that area could be considered as well. One would need an exam and a discussion of the positives and negatives of each. The filler will be less expensive but temporary. Starting with the filler to assess response and then moving to a rhinoplasty later is not a bad idea either. Kenneth Hughes, MD Los Angeles, CA

Barry L. Eppley, MD, DMD · Answer

If you are looking for a subtle increase in upper nasal bony width, you may consider fat injections which can be be performed intranasally. This can be 'tested' by temporary hyaluronic-acid based fillers first. It can also be widened by cartilage or dermal onlay grafts but this would be more invasive and the magnitude of the problem may not justify this amount of effort.

William Portuese, MD · Answer

Widening the narrow nasal bones can be accomplished with reverse osteotomies and cartilage grafting. It is important to have an examination and consultation with at least 2-3 surgeons to make sure you're doing the appropriate procedure for your nose. Virtual rhinoplasty software is available on our website to see what your new nose might look like before undergoing the procedure.

Andrew Winkler, MD · Answer

Though its an unusual request, widening the bridge of your nose is possible and there are a few options. 

	
		Fillers.  As you suggested, this may be easiest and best initial option.  I'd recommend Radiesse for this purpose. It is a little thicker and would do nicely in this location.  If you don't like the result, not to worry; it'll be gone in a year or so.  
	
		Rhinoplasty.  This is a little trickier.  Though I'd need to see you to make firm recommendations, my guess is that an augmenting graft laid over the nasal bones would suit this purpose.  Temporalis fascia could work, or something like GoreTex.  Of course, there are risks and benefits of both materials.

Talmage J. Raine, MD, FACS (retired) · Answer

making the nose wider in the upper third is more difficult because that area is bone.  Spreader grafts are used to make the lower part of the nose proportionately wider.  Fillers may be a better way to go initially, since you and your doctor can see what you want, and you won't be stuck with a permanent change if it is not what you want.

	Talamge Raine MD FACS

	drraine.com

George J. Beraka, MD (retired) · Answer

Hi.

	Of course one needs to examine you, but fillers may well work for you.  Cost should be $1500 or less.

How to Get Subtle and Effective WIDER Nose?

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