Will side rasping make my open roof deformity worse? (Photo)

With the limited view of your nose, it appears that the nasal vault is wide (right greater than the left). I don't believe rasping would eliminate the open roof. Oteotomies should be performed in my opinion.Hope this helps.

Side rasping would not make your open roof deformity worse, it would probably make it better. However, it may be inadequate. If you have an extensively wide open roof deformity then you will need osteotomies.

Best Wishes,

Gary Horndeski, M.D.

Hi from Istanbul!Thank You for your message. First of all you had an examination by a surgeon. If you have enough thickness on the bony sides, rasping will not make it worse. An osteotomy or rasping and using the bony dust (which is harvested from boy edges) to cover the defect will correct the deformity.In my opinion the dorsal width of your nose is not much, raping can be better with faster healing.Best luck!

Based on your photo, you appear to have very thin nasal skin which is why you were seeing this asymmetrical wideness of your bridge. Please note that you have a symmetrical indentations of your upper lateral cartilage is below your nasal bone, worse on the right side. If your goal is to achieve straight bridge lines, please ask your surgeon whether or not you might benefit from one or two spreader crafts to slightly widen your internal nasal valves. Please consider meeting with the reputable rhinoplasty specialist for a second opinion. I hope this is helpful. Sincerely, Dr. Joseph

The correct treatment for an open roof deformity is nasal bone osteotomy. I would recommend being evaluated by an experienced plastic surgeon with a specific focus on rhinoplasty, and letting them guide you on the best treatment option to achieve your desired goal.

Hello and thank you for your question. Based on your photograph, the best way to correct this would likely be with osteotomies and placement of spreader grafts. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Breaking and narrowing the bones has the best chance of correction of your open roof. If you’re going to have surgery it’s best to do what gives to the best opportunity for success

Yes, rasping the bridge will make your open roof worse. The open roof was created because of the hump removal itself, and subsequently not performing osteotomies. You need medial and lateral osteotomies to close the open roof with a closed rhinoplasty approach with all the incisions placed on the inside of the nose.

Based on your posted, photo the best and only treatment who would be doing a nasal osteotomy or in fractures to close open roof deformity with minimal raspy. Fee $8000-$12,000. Best of virtual consult with.