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bridge narrowing

Dr. Harris will answer all your questions about facial plastic surgery for African-Americans and people with skin of color, including rhinoplasty (nose job), facelift, eyelid surgery (blepharoplasty), lasers, dermal fillers and all other types of facial plastic surgery.

bridge narrowing

Postby manolapix » Sun Nov 16, 2008 10:12 pm

Hi doctor Harris.

i am an african american male seeking rhinoplasty. My main concern is that i have a slighty upturned nose and my fear is having a Ms. piggy nose or a janet jackson nose,(the harsh triangle nostrils)after my surgery. i have heard that when narrowing the nostils of an upturn nose it looks unnatural and you get the janet jackson nostrils. is there a way to derotate the tip of an upturn nose and bring it down to cover up the nostrils. and how narrow can you narrow the bridge of an ethnic nose example:the size of the middle finger , or thumb

i would like my bridge to very defined and narrow , also is it possible to make my bridge longer with or without the use of implant.
i am looking towards a look like this

http://images.nymag.com/fashion/models/ ... rofile.jpg
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Postby manolapix » Sun Nov 16, 2008 10:14 pm

the lady in the photo is jessica white she also had rhinoplasty
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Postby drharris » Thu Nov 20, 2008 9:03 pm

It is possible to derotate an upturned nose. Take a look at my patient below who presented with a short upturned nose. It's quite challenging to lengthen a short nose . . .but it can be achieved. Experienced rhinoplasty surgeons are senstive to the concept of "tip dynamics" when planning and performing nasal surgery. This means that for every planned action . . there is typically a secondary reaction (which may be favorable or unfavorable). For instance, it is common when derotating the tip . . .that the nostrils may actually flare a bit and subsequently require narrowing.


Implants are commonly used in wide noses with a low bridge to give the appearance of overall lengthening. You have to be careful looking at one area of the nose in isolation. For instance, you should only narrow the bridge to a level which is balanced with the tip. I commonly see patients where there is nasal imbalance where the bridge is overly narrowed and the tip remains wide. The ultimate rhinoplasty goal is to have a nose harmonious in it's individual components (tip/dorsum) and balanced with other facial features (eye, mouth, chin).

Take Care,

Dr Harris
Monte O. Harris, MD
5530 Wisconsin Avenue, Suite 612
Chevy Chase, MD 20815
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Postby destined80 » Mon Feb 02, 2009 12:13 pm

I was a patient of Dr. Harris and this is exactly what he achieved for me. I have a narrow, defined nose bridge now. Jessica White was actually one of the many pictures I brought in to him.
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