How it works
Everything starts with a consultation. Your surgeon will ask why you want to raise your bridge, what you are hoping for, your medical history, any drug allergies, the medicines you take, and whether you smoke. Your safety and your result depend a great deal on how openly you share these things. Your surgeon examines your nose, assesses the height of the bridge, the thickness of your skin, and the state of the tip, takes photographs for your medical record, and then works with you to sketch a bridge shape that suits your face.
Before the procedure, depending on your case you may need a few tests, and your surgeon will usually ask you to stop aspirin and other medicines that can increase bleeding for roughly a week to ten days beforehand. You will be given clear instructions on how to prepare. The type of anesthesia varies from one clinic and one case to another; raising the bridge can often be done with local anesthesia plus light sedation to help you relax, though some cases use a different approach, and your surgeon will decide based on your health and how much is being done.
During the procedure, your surgeon usually makes a small incision inside the nostril for a closed approach, or adds a short incision across the columella (the strip of skin between the nostrils) for an open approach, depending on the plan for your case. Your surgeon creates a pocket resting against the bridge bone to hold the material, taking care to keep the pocket snug and on the midline so the bridge does not sit crooked.
The Gore-tex (E-PTFE) is trimmed and shaped to suit your own nose, then placed into the pocket. Because this material is soft and porous, your surgeon works carefully under sterile conditions to lower the risk of infection. After placing it and checking the shape of the bridge, your surgeon closes the incision and usually applies a splint to hold the bridge in place. How long the procedure takes, and whether you need to stay for observation afterward, varies from case to case.