Bridge narrowing in ethnic noses.

In certain ethnic noses with a relative lack of dorsal projection, patients often request a narrowed appearance on frontal view. There is little debate about the benefits of dorsal augmentation, but considerable disagreement about concomitant osteotomies. In a series of six African-American and Asian rhinoplasties, the author has addressed the wide-bridge appearance with dorsal augmentation alone, without osteotomies. Gore-Tex or cartilage was used for the augmentation. All patients were satisfied with the apparent bridge narrowing on frontal view.