Does sanding nasal bone have lower/same probability of forming callus in comparison to breaking bone?

In most cases even with a small hump I find that breaking the bones is necessary. Breaking the bones is a routine part of rhinoplasty and is done in a very precise way so you shouldn’t be afraid of it if necessary

If somebody has a bony dorsal hump, removal of the bump will cause widening of the nose. This necessitates osteotomies to narrow the nasal appearance. When this is performed properly, bumps do not return. I hope this answers your question. Sincerely Dr. Joseph

"Breaking the bones" is used to narrow the bones, to bring them closer to each other. The break happens where the side of the nose meets the front of the cheek. "Rasping" is used to file down a prominence along the bridge of the nose.

I've never seen a "callus" form. It's almost always just that not enough was rasped down, and there's too much bone there after healing.

A surgeon needs to take a good look at your photos, to be sure which one you need! Nasal bones that are wide, and in need of "breaking," can *look* like a bump from certain views.

Hello and thank you for your question. Most patients will require both osteotomies and dorsal rasping. The ultimate contour of the dorsal will be able to remain much smoother longterm if your surgeon places either a dorsal fascial onlay graft or morselized bone dorsal onlay graft in patients with thin dorsal skin. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Rasping (sanding) the nasal bone generally has a lower risk of callus formation compared to breaking the bone (osteotomy) because it involves less trauma. Recovery from rasping is typically quicker, with most people resuming normal activities within 1 to 2 weeks. Healing times can vary, so it's important to consult with a qualified surgeon to discuss the best approach for your specific situation.

Bone is living tissue and responds to trauma on occasion by creating a callous or regrowth of bone, especially along the dorsal hump, which is a growth center in the nose. Most of the hump is usually cartilage, and a small amount of bone. You'll need to post a full set of facial and nasal photographs to make a determination how best to proceed for a rhinoplasty procedure.

I don’t think anybody sands the bone during rhinoplasty but bones can be rasped down Which I suppose is similar in concept to sanding.
We simply don’t use sandpaper during rhinoplasty surgery.
In comparison infracturing is simply a different maneuver used for different reasons.
InFracturing typically only cause scar tissue to form along the fracture line while rasping potentially causes more diffuse scarring.
Neither technique should cause excessive scar tissue formation limiting results if the procedure is done correctly.
In the end, provider selection is by far the most important variable in regards to delivering consistent quality outcomes.
Best,
Mats Hagström MD