- Bridge/Dorsum – Shaped by nasal bones
- Nasal Sidewalls – Upper lateral cartilages
- Nasal Tip – Shaped by mobile catrilages
- Nostril Reduction
While the most common request of San Francisco patients wanting to have rhinoplasty is to lower a hump on the nasal dorsum, it is also a frequent request to augment the dorsum, particularly with Asian-American, Pacific-Islander, and African American patients. The nasal dorsum/nasal bridge may be augmented surgically or non-surgically.
The non-surgical procedure involves injecting a dermal filler material under the skin. Dr. Mabrie frequently uses hyaluronic acid gels such as Restylane, Juvederm, or Prevelle Silk. The dermal filler is injected under the skin, where it stays until slowly absorbed by the body over the following 6 months.
For a surgical procedure, Dr. Mabrie will use either the patient’s own cartilage or an implant made of Gortex, depending on the patient’s cosmetic goals and personal anatomy. Dr. Mabrie typically performs dorsal augmentation with patients under general anesthesia, although the procedure may be done with only IV sedation. Recovery from dorsal augmentation is rapid, with patients normally feeling comfortable in the public eye within 2 to 4 days. If there is no work to be done on the nasal tip, all incisions are made internally so there is no need for suture removal.
To learn more about nose surgery, take a look at our Recovering from Rhinoplasty Page and our Common Rhinoplasty Questions Page. You can also call our office and speak with our Patient Coordinator, Susan Cole. Susan is a great resource for patients and can answer your questions about procedures, recovery times, and financing options.
Want more information about payment options? Visit Our Fees & Financing Page.
Dr. David Mabrie
For more than a decade, Dr. David Mabrie has been perfecting his technique for optimizing facial beauty with dermal fillers. He is the only facial plastic surgeon in San Francisco whose practice is focused entirely on injectables.