Nasal Bone Narrowing for Rhinoplasty?

My surgeon informed me that he will need to narrow my nasal bone in order to accomplish the desired look of my reconstructed nose. My understanding is the nasal bone must be broken. Is this true? What type of complications will surface with the nasal bone narrowing procedure? Is this a standard procedure in Rhinoplasty surgery?

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5 Doctor Answers | Asked by Pickel in Walnut Creek

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Narrowing of nasal bones is standard procedure in rhinoplasty

Narrowing the nasal bones is a very standard procedure when performing a rhinoplasty. Once the bony and cartilaginous hump has been removed, it is important to narrow the remaining nasal bones. These are pre-broken by a technique used for osteotomies. The reason that this is performed is to prevent a square top or flattop nose, which is also called an open roof deformity. If the osteotomy is performed correctly, there is usually very little complication associated with them. On a rare... more

Nasal Bone Narrowing

Fracturing the nasal bones and narrowing the upper part of the nose is a frequent step in rhinoplasty surgery.While this may improve the appearance of your nose, it may also compromise nasal breathing. Various techniques can be used to minimize this effect.

Richard W. Fleming, MD

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Beverly Hills Facial Plastic Surgeon

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Nasal Bone Narrowing In Rhinoplasty

Correction of wide nasal bones is accomplished by surgically cutting/breaking the bones (called osteotomies) and repositioning them into a more favorable orientation. Osteotomies are performed during rhinoplasty for several reasons. Narrowing a wide bridge (top of nose): One of the most common reasons for surgically breaking the nose is to narrow the bridge after removal of a dorsal hump. When a hump is removed, it leaves a gap along the top of the bridge. This gap needs to be closed... more

Nasal bone narrowing for Rhinoplasty

Dear Pickel, Whenever a nasal hump is smoothed down or a nose needs to be narrowed the surgeon has to use a fine chisel and break the sides of the nose in a controlled fashion. The medical term for these fractures is osteotomies. The most commonly done osteotomies are the side ones - lateral osteotomies, but others may be needed to mold and create the nose you and your surgeon envision. Nasal narrowing in SOME people may result in narrowing of the breathing space in the mid nose. This can... more

Nasal bone narrowing: Depends on what you are trying to correct

Fracturing the nasal bones is a standard maneuver in rhinoplasty. It is used to narrow the width of the nose and to close an "open roof", which can develop after a nasal "hump" is taken down.There are several complications that may result. The most common sequellae are more pain and bruising than would result if it weren't performed. Rarely, significant bleeding, airway compromise, damage to the tear duct aparatus, or palpable edge of the bone can result.A good... more