Can osteotomies be repeated in a secondary rhinoplasty?

Question

Can osteotomies be repeated in secondary rhinoplasty? I had a large hump removed, but now my nose appears wider in the middle. The operative records state that I had median osteotomies performed on both sides of the bony septal edge, approximately 3 mm cephalically.

Eric M. Joseph, MD · Answer

Occasionally, somebody does not achieve adequate infraction of their nasal bones during a primary rhinoplasty surgery, and this may result in a wide, or an asymmetrical nasal bridge appearance. If this is seen 9 to 12 months after surgery, it is not a major undertaking to repeat osteotomies to achieve a narrower nasal appearance. I hope this helps! Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Osteotomies are very commonly redone during revision with both lateral and medial osteotomies.  With good surgical technique, you could likely have an outstanding result. 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

Tanveer Janjua, MD · Answer

Yes, osteotomies can be repeated. In your case it seems like lateral osteotomies were not done. This will be the first time you get lateral osteotomies. This makes it a lot easier. You might only need lateral osteotomies to push the bones together. 
Regards
Dr. Janjua

Ronald J. Edelson, MD · Answer

Ostetomies are often required in revision rhinoplasty. I often see nasal bones that were inadequately broken in the first rhinoplasty leading to a wide bridge

Emin Eren, MD · Answer

Hi,Osteotomies can be done in secondary rhinoplasties to correct dorsal issues like open roof deformity,dorsal axis deviations,bony pyramid base wideness etc&hellip;ıt may be performed in your nose to make your dorsum narrower.

Can osteotomies be repeated in a secondary rhinoplasty?

Answers (5)

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

Answer: Osteotomy

Answer: Osteotomy

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Can osteotomies be repeated in a secondary rhinoplasty?

Answers (5)

Answer: Rhinoplasty revision

Answer: Rhinoplasty revision

Answer: Osteotomy

Answer: Osteotomy

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.