Facial Plast Surg 2018; 34(05): 443-447
DOI: 10.1055/s-0038-1669989
Original Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Widened Dorsum: Bony and Cartilaginous Contributions

Gary Linkov
1   Department of Otolaryngology, Washington University in Saint Louis School of Medicine, Saint Louis, Missouri
,
Gregory Branham
2   Department of Otolaryngology-HNS, Washington University in Saint Louis School of Medicine, Facial Plastic Surgery Center, Saint Louis, Missouri
› Author Affiliations
Further Information

Publication History

Publication Date:
08 October 2018 (online)

Abstract

Creation of a pleasing dorsal nasal profile in the anterior and lateral views requires proper analysis and planning to determine the required series of steps to accomplish the desired outcome. The widened nasal dorsum is a common esthetic complaint of the patient seeking rhinoplasty. Often patients seek an unrealistic result that, if accomplished, would leave them with a restricted nasal vault and nasal airway compromise. Nasal function must be balanced with the patient and surgeon's desire to narrow the nasal dorsum. Various techniques are used to control the width of the upper third, or bony vault, and middle third, or cartilaginous vault.

Level of Evidence

NA.