Can Medial and Lateral Osteotomies Be Reversed in a Revision Rhinoplasty? (photo)

It's uncommon for a nose to get wider after osteotomies. Sometimes spreader grafts can contribute to that as well. Revision surgery is often more complex than it seems, but usually rewarding. A personal exam by a revision specialist is likely the best way to determine how best to restore the contour of your nose.

 

Hello Pepper123,

Thanks for your question.  Osteotomies can be reversed, but it is not an exact science.  I think that you should see an expert in revision rhinoplasty and have some simulations performed of your current nose to see what might be possible in terms of revision.  Typically osteotomies narrow the nose and reduce nasal bone projection.  You are describing the opposite, hence my suggestion about simulations.  Tip repositioning by revision of your spreader graft procedure is also possible.

Good luck,

Dr. Shah

 

Reverse osteotomies can be employed for revision rhinoplasty to widen the nasal bones. Spreader grafts will also be required to hold the nasal bones in the new opened and widened position.