Bridge Rhinoplasty to Improve the Overall Appearance of the Nose

When most people think about cosmetic surgery for the nose (rhinoplasty), they often assume that the entire nasal structure must be modified. In fact, quite the opposite is true. In most cases, only part of the nose needs to be addressed in order to improve the entire structure. This is certainly the case when it comes to the nasal bridge, which is the upper part of the nose between the eyes (where the bridge of your glasses would sit). Dr. Mark Deuber has performed many bridge rhinoplasty procedures to enhance the overall appearance of the nose.

Common Nose Bridge Problems

Overly wide or low nose bridges are common among certain ethnic groups, particularly Asian- and African-Americans. This can result in the entire nose looking too wide and flat, as well as not giving it enough overall definition to stand out from the face in either a front or a profile view.

In some cases, the patient may have a hump on the front of the nose (the dorsal region) just below the bridge. This could be the result of an injury or genetics. A dorsal hump can make the nasal bridge appear too narrow, particularly when viewed from the front. In extreme cases, the nasal bridge might be entirely caved inward, in what is known as a saddle bridge deformity.

Surgical Correction Techniques

In cases of overly low nasal bridges, our surgeons will build up the bridge using one of several techniques. Grafts are the most common way to build up the nasal bridge. For this, cartilage can be harvested from the ear or nasal septum (the nasal cartilage that separates the nostrils). In other cases, the patient’s fascia tissue or bone can also be harvested. Synthetic materials, such as silicone or Gor-Tex, can also be used. Our surgeons may also use a combination of graft materials, depending upon each patient’s individual needs.

If the nasal bridge is too wide, an osteotomy can be performed. This is designed to chisel away at some of the nasal bone at the bridge so that the remaining bone can be repositioned into proper place. This can be done by either medial (along the middle) or lateral (along the side) breaks to the nasal bone.

The osteotomy technique can be used in cases of a dorsal hump, as just removing the hump may leave the nasal bridge too wide. In such instances, our surgeons would first shave down the dorsal hump and then immediately perform an osteotomy to move the bones of the nasal bridge inward to correct for the wide bridge.

Rhinoplasty cosmetic surgical techniques have come a long way from the days in which any changes involved the entire nasal structure. Now, specific areas of the nose can be targeted for improvement, while leaving the rest untouched. This benefits patients in terms of shorter recovery times, less risk of adverse side effects, and minimal scarring. A bridge rhinoplasty is a perfect example of just this type of advance in rhinoplasty techniques.


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