Rhinoplasty surgery of the nose Reduction Rhinoplasty for Wide Nose (Rhinoplasty - Surgery of the Nose)

Exploring rhinoplasty, nasal surgery, sculpture of the nose anatomy details by Dr. Michael Bermant, MD plastic cosmetic surgery.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Rhinoplasty for Caucasian Female with Wide Nose and Nasal Tip

52 year old female who did not like her wide nose or bulbous tip and wanted a smaller nose that better fit her face. Her skin was thick.

Location surgery:
Hospital operating room

Anesthesia:
Local with Sedation

Packing
None

Splint
External Thermoplastic

Technique

  • Open rhinoplasty
  • Slight dorsal reduction
  • Narrow nasal bones
  • Slight shortening of nose
  • Spreader grafts and submucous resection septoplasty
  • Narrowing and sculpture of nasal tip
  • Columellar support cartilage graft
  • Alar base wedge resection to narrow lower nose

The wide nose before surgery did not fit this patients face. Follow the line from the nasal bridge to the tip of the nose in the before and after surgery photographs. Examine the lines at the level along the juncture of the nose and the face, and the lines at the top of the nose. Rhinoplasty required reduction and blending of the various elements to produce a result that better fit her face.

Broad nose with bulbous tip rhinoplasty photograph before nasal surgery. Broad nose with bulbous tip rhinoplasty photograph after nasal surgery. Broad nose with bulbous tip rhinoplasty photograph and drawing before nasal surgery.

Photograph Patient before Rhinoplasty Nasal Surgery

Photograph 10 Months after Rhinoplasty of Nose

Narrowing nose requires balancing of each elements
Rhinoplasty to narrow nasal width before surgery photograph. Rhinoplasty to narrow nasal width after surgery photograph.

Photograph Patient before Rhinoplasty Width Reduction Nasal Surgery

Photograph Patient 10 Months after Rhinoplasty Width Reduction of Nose

Heavy skin makes nasal sculpture difficult. Supporting structures are forced to bear a greater force and fine detail can be obstructed. The columellar cartilage graft helped support the narrowed nasal tip.

Photograph before bulbous nasal tip and broad nose reduction rhinoplasty to reduce width. Photograph after bulbous nasal tip and broad nose reduction rhinoplasty to reduce width.

Photograph before Rhinoplasty Width Reduction Surgery

Photograph 10 Months after Rhinoplasty Nasal Width Reduction

She had some difficulty breathing through both her nose. Narrowing a nose can worsen nasal obstruction unless internal deformities are addressed. In this patient, spreader grafts opened the constrictions along the roof of the nasal passages. Septal deviations that would have obstructed the nose were straightened. Other septal cartilage was used as a donor site for the grafts used in the nasal sculpture.

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Rhinoplasty Nasal Surgery Important Information

Learn more about rhinoplasty surgery of the nose

Open Rhinoplasty - Photographic details during surgery of the Black nose (warning graphic pictures)

Open Rhinoplasty - Pictures of dorsal and tip sculpture during surgery (warning graphic photographs)

Patient Pictures before and after surgery

Rhinoplasty Experiences Discussions, Forum, and Chat

Nasal Obstruction Septoplasty and Other Nose Discussion Groups, Forum, and Chat
rhinoplasty before nose job before before rhinoplasty nose rhinoplasty before septorhinoplasty before rhinoplasty before before rhinoplasty and septoplasty before septorhinoplasty
rhinoplasty after nose job after after rhinoplasty nose rhinoplasty after septorhinoplasty after rhinoplasty after after rhinoplasty and septoplasty after septoplasty - rhinoplasty
nose job before rhinoplasty before rhinoplasty female before before rhinoplasty rhinoplasty before before rhinoplasty before rhinoplasty
nose job after rhinoplasty after rhinoplasty female after after rhinoplasty rhinoplasty after after rhinoplasty after rhinoplasty

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This page last updated on: March 31, 2009

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