When You Make the Osteotomies and You Realign the Nasal Bones Does the Cartilage Part Follow As Well ?

asked 7 months ago by RJason
Latest answer by William Portuese, MD
Question viewed 229 times
Tags: accident, cartilage, osteotomy

Hello, i had an accident (7 months ago) that left me with a crooked nose so I'm considering rhinoplasty . I think it's in the bony section but my ENT doctor said it might be cartilage as well .So , when you straighten the bones will the cartilage follow the movement (and come to a straighter mode as well) or there is another technique for that ? (like rasping or cut it) (sorry for my english) (i want the less possible work in my nose cause im really scared)

8 answers to When You Make the Osteotomies and You Realign the Nasal Bones Does the Cartilage Part Follow As Well ?

Rhinoplasty for the crooked nose.

Rhinoplasty for the crooked nose involves osteotomies for the bone and the cartilage often needs a septoplasty for the cartilage. See an experienced surgeon for the best results.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Nasal cartilage does follow bones during osteotomy

Yes, when osteotomies are performed, the upper lateral cartilages do follow inwards with the nasal bones.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Does Cartilage Follow the Bones with Osteotomies?

If osteotomies are done the cartilages attached to the bones (the upper lateral cartilages) will move with the bones, but your deviated septum will not be corrected. Therefore, without a septoplasty your nose will still be crooked.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Broken nose

All of your posted photos are shot angled upwards and off true frontal so it is hard to tell what nasal components are out of position. When you do the osteotomies to move the nasal bones some of the nose cartilage moves with the bone others like the septum do not. It is really not a relevant question because frequently even the osteotomies are not enough to get the desired result and crushed cartilages grafts are required to mask residual indents in the bone and rasping is required to... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Cartilage And Bone Movement with Rhinoplasty

That is a great question. The answer is yes, the upper lateral cartilages will move together with the nasal bones. They are firmly attached to one another. However, that does not mean that the upper lateral cartilages are going to be where you want them after moving the bones. There may need to be some direct intervention on the cartilage. However, if your nose was straight before the injury, there is a good chance that when the bones are moved back, the cartilage... more

Louis W. Apostolakis, MD
Austin Facial Plastic Surgeon

www.dr-apo.com

When You Make the Osteotomies and You Realign the Nasal Bones Does the Cartilage Part Follow As Well ?

Osteotomies are to realign the nasal bones to the midline and are performed above the upper lateral cartilages. If these are crooked and from your photos they do appear to be so, these must be addressed directly. The nasal tip is also a bit wide with flared nostrils, IMHO.

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

Rhinoplasty and crooked nose

Hello, I am very glad that you have asked this question. Becoming educated about the desired procedure will allow you to ask the right questions during a consultation, should you choose to proceed with the next step. Just as important, researching general opinion about your question may make it easier to receive a surgeon’s recommendations regarding your specific anatomy. Correcting displaced nasal bones is an entirely different procedure... more

Christopher Kolstad, MD
San Diego Facial Plastic Surgeon

Realigning the nose

Sometimes the cartilage moves back with the bone, but usually it needs to be freed as well in order to go back to the center. This is usually pretty straightforward, but may require what's called a septoplasty in order to allow it to move and to stay where it is moved.