Osteotomy - too risky? (Photo)

Osteotomies are integral part of rhinoplasty, in most patients. Nasal bones are cut and pushed together to narrow the nose and close the gap after dorsum is reduced. These are well controled procedures performed with fine osteotomes. Bones heal in new position and after approximately 3 months they are stable and fractures are healed. Althought cutting bones sounds very painfull this is pain free part of rhinoplasty. Complications after lateral osteotomies are exceptionally rare. This is an issue to be discussed with your surgeon in dateils ahead of surgery. Good luck.

Hi @lglarracas. A rhinoplasty in my opinion is one of the most difficult procedures to perform. I utilize piezosurgery in my practice. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. I hope this was helpful! Best of luck, Dr. Nima.

An Osteotomy is performed to narrow the nasal bones on the bridge of the nose. The bones are broken at the base and pushed inward. The bones heal in the new position. If you don't want a surgical procedure, fillers could be used but this is temporary. Discuss all options with your board certified plastic surgeon who will discuss various options.