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WHAT CAUSES A WIDE NOSE?


Correction of the ‘Wide Nose’ typically refers to the treatment of an overly wide nasal dorsum (“bridge of nose”). The superior third of the nose consists of the bony nasal pyramid which is made up of the paired nasal bones. Overly wide nasal bones can result in a nose that appears abnormally wide for a patient’s face. Lateral nasal bone convexity can also lead to an overly wide appearing nose. 

HOW IS A WIDE NOSE CORRECTED?

The nasal “dorsal lines”, as well as the bony base width (“x point”) govern dorsal width. The “dorsal lines” refer to the parallel profile lines which correspond to the width of the philtral columns and tip defining points. The bony base width refers to the maximal base width of the nasal bones at their point of attachment to the facial bones. Nasal osteotomies can be performed to reposition the nasal bones to narrow the bony dorsum and correct lateral nasal bone convexity. Many times, several types of osteotomies are used to treat the wide nose including medial, intermediate, and lateral osteotomies.

Woman With lines across nose

Red: Philtral Columns, Green: Tip Defining Points, Blue: Dorsal Aesthetic Lines, Yellow: Bony Base Width

Nasal osteotomies can be performed to reposition the nasal bones to narrow the bony dorsum and correct lateral nasal bone convexity. Many times, several types of osteotomies are used to treat the wide nose including medial, intermediate, and lateral osteotomies.

These patients underwent rhinoplasty to correct an overly wide nose. Osteotomies were performed to narrow the width of the nasal bones creating a more slender appearance.

Rhinoplasty: The Wide Nose

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