When does the medial osteotomy cut close?

Question

I am now almost seven months and I still feel the cut in the boney part where the medial osteotomy was done. Only on one side and it makes my nose look crooked. When will it close?

Selcuk Inanli, MD · Answer

Hello!Thank you for your question.
It would be better to wait 1 year and then evaluate it. but if it is a problem for you, you can talk to your surgeon.
Best regards!

Eric M. Joseph, MD · Answer

If you are feeling a painful bony edge on the bridge of your nose and if this is associated with a wide nasal appearance on one side, repeat osteotomies may need to be performed to achieve nasal symmetry and narrowing. If you like, please consider re-asking your question with photos. Hope this helps! Dr Joseph

Ronald J. Edelson, MD · Answer

I would be interested in seeing photos. It’s not unusual to be able to feel the break as long as you can’t see it. If visible your bones may need to be broken again

Ryan Rebowe, MD · Answer

The osteotomy site itself has already healed in terms of the bony healing process. However it is possible that this step off is both palpable and visible through the skin (common in patients with thin skin). Unfortunately, this bone has already healed this way, but this irregularity may be able to me camouflaged with a cartilage graft.

Robert Ciardullo, MD · Answer

: medial osteotomy: your bones have already healed about as much as they are going to. If there is a gap between the septum and one of the nasal bones it may be because that bone has drifted slightly back laterally. In some cases this may occur because the septum between the two nasal bones is not perfectly centered and straight Or because there remained soft tissue attachments and forces pulling the bone back laterally after it was in fractured. In any event this may be visible particularly if the skin is rather thin. If one bone has moved it will make the nose look slightly crooked. When both bones move it makes the bridge look wide and creates the “open roof“ deformity.

When does the medial osteotomy cut close?

Answers (5)

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