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When Osteotomies Are Used to Push the Nasal Bones Together Does This Lower the Dorsum Height?

asked 9 months ago by Summerbee
Latest answer by Michael L. Schwartz, MD
Question viewed 139 times
Tags: dorsal hump, height, osteotomy

Hello, I had rhinoplasty to remove a small hump from the bridge of my nose. The surgeon did this without making osteotomies- the hump was just filed down. Unfortunately, I am unsatisfied with the result as my nose looks much wider and there are 2 uneven bumps on either side (I believe them to be the edges of the nasal bones. I am wondering whether if I have this revised, would the height of the bridge of my nose be lowered through making the osteotomies? I do not want it to be any lower. Thanks.

6 answers to When Osteotomies Are Used to Push the Nasal Bones Together Does This Lower the Dorsum Height?

+1

Osteotomy

Lowering a bump of significant size without osteotomies turns a triangle into a trapezoid. You have what is called open roof and need to see your surgeon about an osteotomy. It will not change your height.
Michael L. Schwartz, MD

West Palm Beach Plastic Surgeon

www.palmbeachface.com

+1

When Osteotomies Are Used to Push the Nasal Bones Together Does This Lower the Dorsum Height?

When Osteotomies Are Used to Push the Nasal Bones Together Does This Lower the Dorsum Height? What you are describing is called an "open roof deformity" where the nose appear wider after hump removal and there is a space between each nasal bone as they no longer meet in the midline. The inside of the nose is hollow and when removing a nasal hump that's bone, osteotomies to bring the nasal bones back together, in the midline, are usually...not always...required.... more
Francis R. Palmer, III, MD

Beverly Hills Facial Plastic Surgeon
+1

Osteotomies

Not addressing the need for lateral osteotomies after hump removal is a cardinal sin. Doing these will close your open roof narrow the bridge but, i doubt that it will change dorsal height significantly
David A. Bray, Sr., MD

Los Angeles Facial Plastic Surgeon
+1

Rhinoplasty results

When osteotomies are needed they should be performed and part of the pre surgical plan. In most cases you do not want to go in and just rasp the dorsum unless no other changes need to be made to make the nose aesthetically pleasing. In most rhinoplasty procedures osteotomies are necessary and this is especially true when the nose is deviated or wide. The secondary answer to your question is yes this may be revised however it is prudent to wait at least six months for further evaluation.... more
Michael Elam, MD

Orange County Facial Plastic Surgeon
+1

It depends

If you imagine looking down from a helicopter at two mountains with exactly the same base width, then the mountain that is taller will actually look thinner due to the shadows formed along the sides of the mountain. This may help explain why your nose looks wider after removing the hump. You may need the base of your nose narrowed (osteotomies) and/or a graft placed on top to raise the bridge slightly. Making the osteotomies itself will likely not lower the bridge any... more
Colin Pero, MD

Dallas Facial Plastic Surgeon

www.drpero.com

+1

Rhinoplasty Results

Like many cosmetic surgeries, pictures are essential for a thorough evaluation. That said, the problem with not doing osteotomies is that a flattening of the nose can result (open roof deformity). Sometimes patients will actually ask pre-operatively not to have the osteotomies because they don't realize the importance of this step. Yes, this can be fixed in a revision. I recommend waiting at least 6 months to let things settle down to get a better idea of... more
Hannah Vargas, MD

Kansas City Facial Plastic Surgeon

www.vargasfaceandskin.com

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