Rhinoplasty for broad middle nasal dorsum without osteotomies? (Photos)

Hi, thank you for the question. Your nose has also broad side bones. An open technique would need to refine bridge area and nosetip followed by osteotomies although we evaluate just front (cant see lateral/side profile images). Regards. Cem Altindag.

Without osteotomies your nose will appear wider than it does currently. Osteotomies are definitely needed in your case.

Can the middle portion of your nose be narrowed without osteotomies? The middle portion of the nose can theoretically be narrowed by trimming the upper lateral Cartlidges without doing a osteotomies. However that would probably create a strange hourglass shape to your nose, and I don’t think many plastic surgeons would be willing to do it.

Osteotomy's are mandatory to be able to narrow the wide nasal bones and corresponding upper lateral cartilages. Osteotomy's are an integral part of a rhinoplasty to narrow the upper two thirds of the nose. If you only narrow the upper level cartilages, you'll create an inverted V deformity.