Do These Two Procedures Result in the Same Cosmetic Result for Rhinoplasty Bridge Work?

I had a previous rhinoplasty consisting of osteotomies to narrow and raise the bridge. I now find that after months of healing, that I now have a pinched appearance. I have heard of two methods to correct this: place onlay grafts along the side walls of the nose to widen, or to re-break the nasal bones again to rewiden them. Do both techniques create the same cosmetic results? Thanks for your help!

Doctor Answers 6

Revising a "pinched" nose

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Dear Ndkraut,


I am sorry that you are not satisfied with your results.

However, without physical examination it is not possible to recommend one procedure and not the other.


Both procedures will lead to similar results depending on where the pinched area is located, but the outfracture method could be more inclusive.


I encourage that you consult with board certified surgeons of extensive experience in that field.


Best of luck to you and thank you for your inquiry.
Dr. Sajjadian

Orange County Plastic Surgeon
5.0 out of 5 stars 205 reviews

Pinched nasal bones correction

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If the nasal bones look pinched along the top of the dorsum, than outfracture (this will require rebraking) and placement of spreader grafts should fix the problem. If the bones are pinched at the nasofacial junction, then either the outfracture or onlay grafts should provide you with similar results. I would probably recomment oufracture as onlay grafts in that area are not easy to secure.


Alexander Ovchinsky, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 32 reviews

Pinched nasal deformity

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A pinched look can mean a lot of different things and each requires its own treatment. This can mean the tip of the bridge or middle vault.  An exam in person is key.  Good luck.

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

Pinched Nasal Bridge after Rhinoplasty

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You may need both procedures. Medial osteotomies will open the nasal bony vault, to keep this open, you may require spreader cartilage grafts. The spreader graft can span the nasal bony vault to the upper lateral cartilages.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 283 reviews

Narrow nose

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Theoretically these will do the same thing.  I think it is more difficult to move the nasal bones out in a predictable fashion.  I prefer cartilage with fascia grafting.   Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
4.9 out of 5 stars 50 reviews

Procedures for Revision Rhinoplasty Bridge Work

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Both of these procedures may achieve the same results depending on who is doing the work. You are frustrated at this time because you had an unfortunate experience with  your previous surgery. However, pick the surgeon not  the technique to achieve the best results.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 42 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.