Rhinoplasty for a Wide Nose

Posted by administration on December 5, 2016

Rhinoplasty.pngNoses come in all shapes and sizes and there are many opinions about the ideal nasal profile. Some consider the tip of their nose too bulbous or their nostrils too wide or the bridge too broad. But whatever the concern, the nose, the central feature of the face, plays an important role in a person’s confidence and interaction with others. Proper nasal width should be assessed in relationship to nasal length and the rest of the face. After a good rhinoplasty, the nose should properly “fit” the face. Rhinoplasty for wide nose can be performed to proportionately refine the nose to match the other facial features.

In Denver, the first step in rhinoplasty for a wide nose is for Dr. Serota to diagnose the issue causing the wide appearance and determine the best approach to correct it. These plans and decisions should be made during the initial consultation.

A wide nose can be due to any of the following:

  • Wide nasal bones
  • Wide middle vault cartilages
  • Wide dorsal septum
  • Wide nasal tip
  • Wide lower or upper lateral cartilages
  • Thick skin
  • Wide nostrils
  • “Relative illusion of width” due to inadequate length of the nose

A broad nasal tip, wide nostrils or a low broad nasal bridge, are frequent causes of unhappiness with the appearance of the nose. Several techniques can be used to refine a broad nasal tip. The cartilage forming a bulbous nose can be thinned and shaped. For further definition, cartilage can be harvested from the nasal septum or behind the ear to present a narrower nasal tip. The patient’s own cartilage is then carefully positioned to produce a natural, more refined nasal form.

The nostril area can also be altered to address a patient’s concerns. Society’s aesthetic conventions suggest that the ideal nostril width is approximately the distance between the eyes. There are several methods available for narrowing the nasal base and, depending on your desired cosmetic result, various approaches to reshaping nostril flare. Wedge excisions, nasal sill excisions or a combination of the two can be utilized to produce a desired, balanced and natural appearance.

A common goal of many patients is narrowing and raising of a broad and low nasal bridge. This objective can be achieved by repositioning the bones forming the bridge of the nose and adding height to the area. Wide nasal bones above the nostril can be narrowed by performing osteotomies, precision cuts from the inside, to bring the bones closer together. Building up the bridge of the nose involves layering either a synthetic material (gortex, silastic) or adding the patient’s own tissue (cartilage, bone, fascia) to achieve a proportional result of height and width. For the increasing number of patients seeking augmentation of smaller defects of the dorsum of the nose, a non-surgical rhinoplasty approach can be used. Using injections of fillers, a depressed nasal bridge can be built-up to a more harmonious dimension. Similarly, divots in the nose can be evened using these fillers.

Dr. Serota would love to help you achieve your desired aesthetic goals through rhinoplasty or other procedures. To schedule a consultation, contact Advanced Cosmetic Surgery Center at 303-367-9000 or serotamd.com.  

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