Nasal Bone Osteotomy - What Can I Expect With This Revision?

asked 6 months ago by christina Z in oregon
Latest answer by William Portuese, MD
Question viewed 156 times
Tags: 3 months post-op, expectation, open roof deformity, osteotomy, technique

I had a rihnoplasty 3 months ago. Now, there is an open roof on my nose bridge. If I use osteotomy to close the roof of my nose bridge, how much higher and narrower would my nose be after the revision surgery? How the osteotomy is usually performed? Will it break my nose? Will it cause any new problems to my nose's function? Ex.difficult to breath, etc? Thanks a lot!

5 answers to Nasal Bone Osteotomy - What Can I Expect With This Revision?

Nasal Bone Osteotomy - What Can I Expect With This Revision?

Yes, osteotomy means breaking the bone during a Rhinoplasty. This procedure will break the nasal bones, along their base, allowing one or both to meet in the midline thus closing the open roof deformity. As far as all the other questions, that are very specific to your particular nose, there's no way to answer these as there are no pictures to evaluate.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

drfrancispalmer.com

Open roof deformity repair, what to expect

It is unfortunate that you had rhinoplasty 3 months ago and now need osteotomies. It is important to wait a year before undergoing revision nasal surgery. Osteotomies are made in both the medial and lateral positions of the nasal bones to narrow and close the open roof deformity. This involves breaking the nasal bones. It should not create any further problems to your nose’s function or breathing issues.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Rhinoplasty may be required

Dear Christina Z: An "open roof" may require revision rhinoplasty. If you really have the "open roof," meaning that: The two nasal bones do not meet in the middle and There is a soft connection between the two, then you may have no choice but to have a revision rhinoplasty. Yes, at revision rhinoplasty, typically, osteotomies (cutting the bone) are done on each side to run the nasal bones closer to each and... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Osteotomies with Nasal Revision Surgery

Osteotomies, which are used to break the nasal bones at their junction with the cheek bones, are done in rhinoplasty surgery after a hump removal to avoid an open roof deformity. This procedure will make the nasal bridge narrower but not higher. This maneuver could compromise breathing depending on your anatomy, but discuss this with your surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Open roof deformity

This is difficult to answer without photos. Osteotomy is a routine manuever in most rhinoplasties. Some doctors try to avoid it in order to give their patients less bruising and quicker recovery but sometimes this is of no value if the result isn't great. Having said that going back and doing it after several months is one of the easier revision maneuvers and should produce a nice resut for you.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

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Nasal Bone Osteotomy - What Can I Expect With This Revision?