Dorsal Augmentation: building up the bridge of the nose

Thomas Lamperti

See how a cartilage graft can be used to build up the bridge of the nose

A common concern of rhinoplasty patients is to build up the bridge of the nose. There are a few ways to do this including using your own cartilage as a graft, a silicone implant, or gortex implant.

I prefer to use a patient's own cartilage for several reasons. It has the highest safety profile (low risk of extrusion and infection) and provides the most durable result. Also, I find the the results to appear the most natural using this method.  So how can cartilage be used to build up the profile?

African American Rhinoplasty: Building up the nasal bridge

This patient came to me looking to create a more masculine profile. You can see how he has an underdeveloped bridge with a low starting point at the radix (area of the bridge between the eyes).

Using a closed rhinoplasty approach (using a hidden incision on the inside of the nose) I was able to harvest septal cartilage and place a custom-made dorsal augmentation cartilage graft. You can see the improvement to the patient's bridge in the after photo on the right. His bridge now starts higher on his face, closer to his upper eyelid lashline. He also has a stronger bridge with a less concave profile. The photo below shows how I fashioned a triple layer graft in which the three layers are secured to each other using sutures.

This next photograph shows the positioning of the graft from a profile view.

Two important factors to keep in mind in these cases is to seamlessly blend the lowest part of the graft with the patient's supratip and to bevel the sides of the graft so they are not visible against the skin.

You can learn more about ethnic rhinoplasty here or set up an appointment or free virtual Consultation here.

Related Rhinoplasty Blog Posts:

Added on 11/10/2011

Filed Under

Asian rhinoplasty, ethnic rhinoplasty, rhinoplasty by Blog


Comments (0)

Post a Comment

No comments have been added yet to this post.

Post a comment - top

Please register to leave a comment.

Click to register
November, 2016
October, 2016
September, 2016
August, 2016
July, 2016
May, 2016
April, 2016
February, 2016

Posts by Category
Asian rhinoplasty
brow lift
Celebrity plastic surgery
chin augmentation
ethnic rhinoplasty
Facial feminization
facial filler
fat grafting
Lip surgery
minimally invasive
revision surgery
scar revision
sinus surgery
social media
Updates and Analysis

View By Author
Thomas Lamperti

« Show All
Schedule your In-Office or Virtual Consultation with
Dr. Lamperti Today!

(206) 505-1234

make an appointment

Click to view
Before & After Photos

Click here to
Contact Us

Click to view

Visiting Us
Click for map

Visit our sister site
Rhinoplasty in Seattle