Revision Rhinoplasty Osteotomy Risks?

Hello, I am in the process of looking for a revision surgeon. I have seen 6 surgeons and 4 out of 6 wanted to shift my one or both bones a little. I had osteotomy done with original surgeon and it appears that a bone on one side is a little fuller than the other. What are the risks of doing another osteotomy? What should I ask the surgeon or be aware of? The original reason for my rhino was due to a broken nose that shifted the bones a little. Thanks in advance!

Doctor Answers 9

Revision Rhinoplasty

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Revision rhinoplasty usually involves repeating the osteotomies (if the bones are still crooked). It does not add any significant risk to the procedure. Without the osteotomy the likelihood of straightening the nose is small. What you need to be aware of is that even in the hands of the best rhinoplasty surgeon of the world, you have the risk of having a poor result. So, understand the risks involved but don't let that stop you from getting your nose fixed. In selecting a surgeon just follow your gut. Goodluck. Regards Dr J Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Osteotomies In Revision Rhinoplasty

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In order to correct a crooked nose caused by asymmetry of the boney nasal pyramid, osteotomies are necessary.  By repositioning the nasal bones after fracture, the nose will be straighter.  Osteomtomies are routinely performed in primary and revision rhinoplasty without any added risk of complication.  Good Luck!

Anthony Corrado, DO
Philadelphia Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews


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Osteotomies need to be performed in rhinoplasty when the bones are not straight.  That is the only way to shift them

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Osteotomy risks

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Don't over think the problem. Once you have found a surgeon with revision experience, whose work you like and you are comfortable with then let him/her decide what technical steps are needed to get you the result you are looking for. Try not to make a decision based on your analysis and apprehension of what techniques are being used. There is  no risk to further osteotomy and it may absolutely be necessary to get your desired result.

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Osteotomy Risks

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In good hands there really should be very minimal risk of anything going wrong. Your surgeon should discuss any potential risk prior to surgery. But with an experienced surgeon this should not be a problem.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 285 reviews

Revision rhinoplasty is always harder than primary rhinoplasty.

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If you have lost confidence in your primary surgeon it makes sense to seek another opinion. In osteotomy is a fairly simple procedure is usually predictable as well. Nevertheless, any revisional surgery should be performed by someone well experienced with rhinoplasty.

Revision Rhinoplasty Osteotomy Risks?

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         In general, the osteotomies performed for a revision should be a very predictable part of the revision.  The ability to shift the bones and improve the look is not particularly challenging.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Osteotomies in rhinoplasty and revision rhinoplasty are low risk

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The only way to move the nasal bones and create or re-create symmetric nasal bones is by doing osteotomies. If you take a piece of paper and cover the lower 2/3 of your nose and the top part you see is still crooked, then you would benefit from osteotomies. They are quite safe and don't make the nose less stable, the often yield a superior result, even for revision surgery.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon
4.9 out of 5 stars 141 reviews

Revision rhinoplasty for the uneven osteotomy.

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Revision rhinoplasty for the uneven osteotomy is a easy procedure if the surgeon knows how to do this. Choose a very experienced rhinoplasty surgeon for the best results.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 38 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.