Raise bridge without implant, straighten and decrease right side of tip - Realistic rhinoplasty outcome? (Photos)

Question

I’m wondering if it’s possible to raise the bridge of my nose without an implant, straighten the nose (mine leans a bit more to the right) and decrease how much the right side of the tip of the nose extends out?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a dorsal onlay graft consisting of diced cartilage wrapped in fascia. Maneuvers can also be performed to straighten the nose from the frontal view. 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

Best wishes and good luck.

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

Artur Fahradyan, MD · Answer

If you raise your nasal bridge to the level of the forehead, as shown in the picture, it would create a very unnatural appearance. In my opinion, the issue is not a low bridge but rather the dorsal hump. Gently reducing the hump would create a more natural-looking nose.In general, when bridge augmentation is needed, my preferred method is facial grafting with diced cartilage. I strongly recommend against silicone nasal implants, as they can lead to serious complications such as implant extrusion.Yes &mdash; the nose also can be straightened and the tip projection improved using standard rhinoplasty techniques.

Eric M. Joseph, MD · Answer

Based on your questions and your photographs, I presume that you had a previous rhinoplasty, and you were looking to add volume to the top of your bridge. Depending on your examination, microdroplet Silikon-1000 injections maybe a welcome alternative to revision rhinoplasty surgery. It's tough to advise you about your nasal tip, based on the photo that you posted. I hope this helps! Sincerely, Dr Joseph

Guray Yesiladali, MD, FEBOPRAS · Answer

Yes, bridge height can be increased without a synthetic implant by using autologous cartilage. Typical methods include a dorsal onlay graft or diced cartilage wrapped in fascia from the patient’s own tissues. Septal cartilage is used when available, ear or rib cartilage when more volume or support is needed.
To straighten a nose that leans to the right, structural steps are usually required:• Septal straightening and stabilization• Spreader grafts to balance the middle vault and improve the internal valve• Controlled osteotomies to realign the bony dorsum
To reduce how much the right side of the tip projects:• Asymmetric tip sutures to balance definition• Lateral crural repositioning or strut support if the lateral cartilage is malpositioned• Alar rim or small onlay grafts if contour needs gentle reinforcement
Non-surgical options:• Hyaluronic acid filler can raise the bridge modestly and camouflage small irregularities, but results are temporary and do not correct structural deviation.
The information here is not enough for a precise plan. A deeper analysis with standardized photos, breathing findings and a review of graft availability helps define the safest approach. If helpful, a complimentary conversation with a patient coordinator can be used to gather details before any medical evaluation.
Wishing you clarity and a plan that brings natural balance and comfortable breathing.Güray Yeşiladalı, MD

Raise bridge without implant, straighten and decrease right side of tip - Realistic rhinoplasty outcome? (Photos)

Answers (4)

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