Rhinoplasty: Cost, Pics, Reviews, Q&A

Nasal issues

Proper balance between you dorsal profile and your nasal tip is important.

A proper exam in person would be the best way to properly advise you. (Steven Wallach, MD, Manhattan Plastic Surgeon)

Straighter Nasal Dorsum Options

In your effort to get a straighter bridge, the question is whether the dorsum/bridge needs to be built up or whether the the length of the tip of the nose needs to be reduced. Or some combination of both.

The best way to answer your question is computer imaging done from the side or profile. All three types of changes can be done so you can see which approach to a straighter bridge you prefer.

If dorsal augmentation is preferred, the question of an implant vs your own cartilage is a classic one and partially depends on the amount of augmentation needed. (Barry L. Eppley, MD, DMD, Indianapolis Plastic Surgeon)

Building Noses

I would love to work on your nasal tip and use your existing bridge (dorsum) as a natural environment to blend into a more elegant tip and base structure. (Robert Shumway, MD, San Diego Facial Plastic Surgeon)

Raising the nasal bridge

It is difficult to appreciate what you need from the limited photos, but I assume you want a straight bridge. The feminine ideal of a nasal shape is having the tip slightly more projecting that the bridge.

my nasal bridge is low

This appears what you want to change. You would need an in-person exam with imaging to fully understand your aesthetic goals.

Often, this can be changed by moving the tip and not the bridge. You should see a board certified plastic surgeon in your area to get a formal opinion through and in-person consultation. (Vincent P. Marin, MD, San Diego Plastic Surgeon)

Implants in Rhinoplasty

How to Make Your Nose Bridge Higher

Unfortunately, artificial materials are becoming very common in Asian rhinoplasty. An artificial implant is easy to place and will result in immediate results. However, they have a tendancy to move, become infected, or extrude through the skin.

These complications can occur many years after the original surgery, and creates a very difficult situation to correct. For your situation, I generally recommend autologous cartilage grafting through a closed rhinoplasty approach.

The cartilage may be obtained from the nasal septum or ear. Autologous cartilage has been associated with less migration/extrusion and infection. Additionally, the use of your own cartilage does not incur the added expense of an artificial implant. (Jarrod Little, MD, Louisville Plastic Surgeon)

Raising Nasal Bridge

A profile view of your nose would help us answer your question. However, implants can be used to raise the bridge but over the last 35 years I prefer to graft the patient’s own cartilage to avoid the risks of implant movement, extrusion, and infection. (Richard W. Fleming, MD, Beverly Hills Facial Plastic Surgeon)