Q. Questions About Nose Surgery - #LongNose #NostrilLowering #GlassesAfterSurgery

Hello, this is AB Plastic Surgery.

I wrote this post to answer the questions you often ask.

Today, I will answer whether patients with a long nose must undergo nostril lowering, and whether wearing glasses after nose surgery lowers the bridge of the nose.

1. Do people with a long nose always need nostril lowering?

First, before explaining this, it is important to understand what a long nose looks like. Usually, when you picture a dragon, the nostrils are lifted upward so that a lot of the nostrils are visible. For that reason, I have often seen people whose nostrils are very visible from the front describe themselves as having a long nose and come in for consultation.

In such cases, it is important to determine why the nostrils are so visible. There can be several reasons: the nostril wing angle and direction may be excessively lifted upward and then drop downward, the side of the nose may be fixed too high relative to the face, the nostrils may become more visible when smiling as the cheekbones rise upward, the columella may hang down too much causing the nostrils to show more, or the nostrils themselves may simply be large.

Among these, nostril lowering is most effective when the nostril wing is excessively lifted upward and then drops downward as it extends from the columella to the face. Nostril lowering extends the cartilage positioned in an arch above the nostrils, and allows the tissue around the nostrils to descend more like a curtain to cover them. In that case, it can be considered the most suitable surgery.

On the other hand, when the nostrils are large for other reasons, different procedures may need to be considered. Depending on the cause, various corrections may be needed, such as reducing the width of the nostrils, slightly decreasing the size of the nostrils themselves, pushing the columella in a little, or extending a nose that is too short and resembles a turned-up nose.

It is true that nostril lowering is effective when the nostrils are very visible, but nostril lowering alone is not always the answer. Since there are various solutions depending on the cause, it is important to carefully analyze how much the nostrils are exposed and choose the right surgery. It can be difficult to decide this on your own, so it is better to visit a clinic, take photos from multiple angles, and discuss the area with a board-certified plastic surgeon. Rather than worrying too much on your own, please come to AB Plastic Surgery and talk with me about what is bothering you and how it can be solved. Thank you.

2. Will wearing glasses after nose surgery lower the bridge of the nose?

Not necessarily. In cases where the bridge of the nose is raised through nose surgery, the effect is often greatest when a silicone implant is inserted into the bridge. In addition, when the angle of the nasal bones is changed through osteotomy, a similar effect can also be seen.

In the case of a silicone implant inserted into the nose, it is located in the center of the nasal bridge, and although its width varies depending on the implant, it is often no more than about 10 mm, with almost no implant placed on the sloping side of the nose. Considering that ordinary glasses press on the sloped side of the nasal bridge, it is not easy for that area to become lower just from being pressed. Even looking at the characteristics of the implant, although silicone has some elasticity, it is not to the extent that its height would decrease from the weight of glasses.

Of course, if osteotomy was performed, the bones on the sides were manipulated, so it may not be good to press on them with glasses until the bones have somewhat healed and settled after surgery. Usually, nasal bones heal about 2 weeks after being broken, and after 4 weeks, the shape of the bones rarely changes further. Right after surgery, to prevent deformity, a splint is usually applied for about 1 week after the operation to prevent movement of the bones and to protect them so they can withstand pressure from the surroundings while they settle. During that period, it would be better to avoid wearing very heavy glasses.

You do not need to worry too much that wearing glasses after nose surgery will lower the bridge itself, but if you still feel anxious, using contact lenses may be an option. Thank you.

Have your questions been somewhat resolved? If you have any other questions, please feel free to visit the clinic.

I will do my best to explain any questions you have about nose surgery. Thank you.