Narrow the wide nose through a closed rhinoplasty. For more information, see Dr. William Portuese, based in Seattle, Washington. And today we’ll talk about narrowing a wide nose with closed rhinoplasty. The patient notices a narrower moment when I remove the cast. So the moment I remove the cast, the patient can see the new bridge line narrowing. And the cast was applied across the nasal bridge for a week. When I remove the cast, the patient can immediately see the new bridge line. This is narrower, but the tip itself is very swollen because the tip is not cast. So the tip is swollen, but the bridge, they see it soon. And the first thing you’ll see is a straight nose, especially for patients with a bent nose or a bent nasal bone. And that’s a very common theme we hear on a daily basis when we uncast from the nose bridge line. The nose is straight and narrow. Most patients say they don’t like the width of the tip, the width of the nostrils, or the width of the nasal bone. Their noses are too wide. Therefore, osteotomy often narrows the nasal bone. In other words, make a notch in the nasal bone itself and then narrow it like a tripod. And the corresponding upper lateral nasal cartilage can also be narrowed, and the wide nostrils can be narrowed. It is called wing plasty. This involves making a small incision in the nostril sill here to narrow the wide nostril. To narrow the wide nose, we usually do the hump removal first. The hump should be scraped from the top of the bridge and then the nasal bone itself should be narrowed to prevent deformation of the flat roof nose on the open roof. The nasal bone in the central part of the nose and the corresponding upper lateral nasal cartilage should be narrowed. Otherwise, your nose will be out of balance. Complete healing after rhinoplasty takes about a year. Depending on the technique performed, the type of skin, whether there was a cartilage transplant, or how the bone works, the tip of the nose will continue to swell for a considerable period of time. Usually, about 70-80% of swelling disappears in the first 1-2 months. And about 90% go away in 3 months, but if you’re talking about narrowing and making a cut in the nasal bone and then narrowing the cartilage at the tip of the nose, it takes a year to heal completely. Therefore, if your nose is too wide, it tends to be the main focus when people look at your facial features. Therefore, if the nose can be refined, it is still the patient’s nose, it is still the bones and cartilage of their own skin, but if the nose can be narrowed and refined, the nose blends into facial features, Not most prominent features of the patient’s face. Many patients ask a rhinoplasty surgeon or say they don’t want to be like others. They just want to see … they want to refine their nose more. And I tell patients that rhinoplasty is surgery performed in millimeters, millimeters of variation. Therefore, there are no major changes that will occur. Even if you put a big hump on the bridge of the nose, it may be only 4 to 5 mm. It sounds like a lot, but it takes a very long time for the swelling to subside. And most patients, their friends, are unaware. They are unaware of the fact that they have done something, they are just aware, maybe it’s a new hairstyle, or new makeup, or you’ve lost some weight. They know something is a little different. However, many patients are unaware that their family has had their nose shaped after 6 months, 3 months, or when they meet their family and friends, and many times. They just noticed that the patient looked good. However, they do not know exactly what the change was. And today I had a girl, she went home for Thanksgiving. And her own parents, I did her about a month ago. Her own parents weren’t even aware that she was doing a nose job, and that was a pretty big change. So this is the patient we have wide nose narrowed. Now that she also had a dorsal hump, I shaved the dorsal hump. And you have to do that, you are obliged to have to narrow the nasal bones to prevent deformation of the nose of this flat top open roof. Therefore, narrow the bridge line and narrow the nasal bone in the central part of the nose and the corresponding upper nasal cartilage. Dr William Portuese 1101 Madison St # 1280 Seattle, WA, 98104 USA 206-624-6200 Location ID: ChIJZTs13clqkFQRjnLYHbl7kBo # rhinoplasty.
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Rhinoplasty-How can I narrow my wide nose?