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Most flat “saddle nose” deformities are acquired, and the most common characteristic is structural compromise of the nasoseptal carilage – the cartilage that divides the nose into two nostrils.A broad nose, particularly a nose that is broad and flat is most common in people in populations most subject to nasal trauma, such as boxers and athletes, in people with long histories of snorting cocaine, and in people who have had nasal surgery of cosmetic or non-cosmetic purpose.

One of the most common changes made during the procedure of rhinoplasty (cosmetic surgery of the nose) is narrowing a nose that the patient believes is too broad. To narrow a nose that is wide, the bones of the nose are cut and moved closer together. Usually a “broad” nose refers to the upper part of the nose, the part that feels bony. Sometimes this procedure is done after narrowing the tip of the nose, which could by contrast make the bridge of the nose appear wider.

Cutting the nasal bones is called “osteotomy,” and it is this part of a rhinoplasty that causes bruises to appear under the eyes after surgery – a phenomenon known as “raccoon eyes.” Another reason that an osteotomy becomes necessary is that in operations that remove a hump on the bridge of the nose. This helps to narrow the bony parts of the nose and give it more of a regular, triangular shape.

When a broad nose is made narrower, the patient wears a nasal splint for about a week after surgery to hold the bones in their correct position as they heal.

In cases where the upper part of the nose is broad and flat at the same time, also called a saddle nose, rather than cutting and narrowing the nasal bones, the surgeon will build up the bridge of the nose to make it look narrower by contrast. Surgeons sometimes do this by sculpting replacement nasal cartilage from the patient’s own osteocartilagineous rib tissue.

Sometimes a person seeks cosmetic surgery to change the look of a broad nose, and sometimes correction of a broad nose – particularly one that has been broken – is necessary for better breathing.”Correction” of a broad nose can be interpreted in many ways. Cosmetic and plastic surgeons have numerous techniques by which they can alter a nose that a patient considers “too broad,” or a nose that has suffered trauma and become widened and flattened that way.

Leonard Dawson is a freelance article writer who writes for Cosmetic Surgery Guru about current issues, technology and news within the cosmetic surgery market.

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