Can The Bridge Of My Nose Be Significantly Raised and Made Wider?

Q: Dr. Eppley, I am interested in a bridge augmentation only rhinoplasty. it seems like a simple procedure to me but i’ve never seen a surgeon heighten a radix as much as i’d want but that may be more because of patient wishes rather than their inability to do it. i added surgery goal notes as well. one other thing i wanted to add is i want a tapered bridge in a ‘ ) ( ‘ shape (refer to image 2) rather than just a straight rib graft ‘ | | ‘ in image 2 the second photo is an image of my persian friend. people say her nose is way too big but that’s exactly what id want from my rhinoplasty! i feel like we have somewhat similar nose shapes. looking forward to your response 🙂

A: When you put together all of the features of this very specific nose shape (which is not easy to achieve) you are talking an implant approach, specifically a custom nasal implant.  (performed 3D designed siliconje or hand carved ePTFE) While rib grafts are the most common techniques for bridge augmentation the one thing they can’t do is make the bridge wider. (it may even make it thinner) Also no standard nasal implant will achieve it either as they also will not make it wider all the way down to the tip.

I have not seen a side view picture to see what how much height is needed at the radix which is the highest and widest part of his type of bridge augmentation. My preliminary estimate is that it would be at least 7mms.

Dr. Barry Eppley

World-Renowned Plastic Surgeon