Flat Nose (Dorsal Augmentation) Rhinoplasty

elevates your face and enhances your features

Dorsal augmentation 
creates the ideal line and angle

A higher nose creates:
  • ideal lines and angles
  • perfect and smooth lines
  • an illusion that eyes are not so far apart
  • the appearance of a more structured face
  • improvement of facial silhouette

Having a low nose bridge creates a flat face without features

Who is a candidate for Dorsal Augmentation?
  • Patients who have a low nose bridge or Binder's Syndrome 
  • Patients with a wide nose due to a low or absent nose bridge
  • Patients who have a nose bridge that is lower than the nose tip
  • Patients who want a tip rhinoplasty and needs the dorsum to be elevated to maintain facial harmony
  • Patients with a deviated nose implant after previous rhinoplasty surgery
Higher does not always equate to being better
Many Asians have a low nose bridge and a bulbous nose tip, making their face appear flat, wide and featureless, A defined and high nose bridge can add dimensions to your face and make it look slimmer. However, it's not just about raising the dorsum. It is crucial to augment the bridge with definition of the tip concurrently so that the nose suits the face and enhances your existing features.

Having a low nose bridge creates a flat face without features

Who is a candidate for Dorsal Augmentation?
  • Patients who have a low nose bridge or Binder's Syndrome 
  • Patients with a wide nose due to a low or absent nose bridge
  • Patients who have a nose bridge that is lower than the nose tip
  • Patients who want a tip rhinoplasty and needs the dorsum to be elevated to maintain facial harmony
  • Patients with a deviated nose implant after previous rhinoplasty surgery

Dorsum Augmentation - Changing the angles
Where is the augmentation?

    • Rhinoplasty Materials

    Understand the different materials that can be used to augment your nasal dorsum.

    Silicone | Goretex

    Silicone has been the commonest and oldest implant for rhinoplasty. It does not get absorbed and keeps its shape even after a long time. It is great for creating the curved lines along the dorsum. Adequate skin cover is absolutely necessary for safe use of silicone implants. Capsular contracture can lead to short nose in the long-term.


    Gore-tex easily assimilates well with natural tissue due to its porous nature. Its soft texture enables it to be used in patients with then skin and it looks very natural after an operation. However it is harder to remove and may become lower due to tissue integration.

    Diced Cartilage + Glue | Fascia

    Diced Cartilage + Glue. Finely diced cartilage is mixed with tissue glue to create a bioactive paste which can be use to smoothen minor irregularities or create a mild elevation of the dorsum. The cartilage can be taken from the septum or ear cartilage. As only small amount of cartilage is needed, additional incisions may be avoided. Due to resorption, there may be some loss of dorsal height. 


    Diced Cartilage + Fascia. The diced cartilage is wrapped within fascia harvested from the scalp through a hidden incision. Economical use of the cartilage enables the surgeon to maximise the cartilage from septum and ear to create full dorsal augmentation. Resorption rates are low as the diced cartilage is wrapped within the fascia. Irregularities and deviation are also uncommon.


    Fascia only. Fasica only grafts can be used to augment the radix or to increase the thickness of noses with very thin skin.


    Dermatofat Graft

    Dermal grafts can be taken from anywhere in the body. The back of the buttock is an ideal place for a well-hidden scar. The skin and fat can be used to augment the nose for a natural look without implants. There is however a 20-30% resorption rate.

    Gold standard

    The rib presents a large volume of cartilage which can be used en-bloc or diced and placed within fascia. Enbloc rib cartilage is used mainly in reconstructive surgery where large volume of cartilage is required and diced cartilage is preferred for augmentation. The rib is a versatile donor site but rib surgery requires overnight stay and is the most expensive option.

    Getting Augmentation Rhinoplasty Right

    01

    Facial Harmony and the nasal tip

    Complementing the line from the dorsum to the nose tip is very important in making a beautiful and natural nose. Concurrent tip-pasty is a popular choice. Sometimes a rhinoplasty alone may not be sufficient to achieve your looks. Eyelid surgery and philtrum reduction surgery can also be performed concurrently.

    02

    Choice of materials

    There are various materials for augmentation of the nose dorsum and each has its pros and cons. Speak to us today to find out which is suitable for your lifestyle and expectations. We have the ability to use the full range of options to achieve the desired outcome. For this reason, we are able to achieve a natural look with safe and reliable techniques. Autologous (using your own tissues) techniques remain the gold standard as the tissues will never be rejected and you will have ZERO nose implant complications, albeit how safe implants can be. 

    03

    Considering facial angles and proportions

    Using 3D imaging software we are able to simulate possible outcomes and this will help to better consider the ideal facial proportions to create a symmetrical, natural and sophisticated look.

    Hospitalisation

    Day Surgery

    Anaesthesia

     Local Anaesthesia or IV Sedation

    Operation Time

    60-120 minutes

    Removal of Sutures

    5 Days
    Discomfort with the feeling of having a nose implant or a higher dorsum is normal for the first 1-2 weeks and you will gradually get used to it. 
    There will be some numbness over the nose which will gradually return to normal.

    RELATED PROCEDURES

    TIP-PLASTY

    ALAR-PLASTY

    SHORT-NOSE CORRECTION

    EYES

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