Osteotomy to narrow dorsum, what happens?

Question

Hi, so I was told that an osteotomy would help narrow my dorsum. However, I tried to read into it and only found out that it’s „cutting bones and repositioning them“, in my case: folding them inward? My question: if it gets folded inward, how does it still connect to the bones of the rest of my face? Because right now it feels like it’s connected to my cheek bones. Wouldn’t there be gap between nasal bone and cheek bones if this were to be done or am I mistaken? Many thanks in advance!

John Michael Thomassen, MD · Answer

The osteotomies separate the nasal bones from the frontal maxillary bone but they are still attached superiorly.  They are gently fractured inward and kept attached superiorly for support and smooth nasal lines.

Celal Alioglu, MD · Answer

Hello of course I can help you with nose problems but first I need to see your nose photos it is important

Tanveer Janjua, MD · Answer

There is a gap between the cheek bones and the nasal bones after the lateral osteotomies. However, it is not visible. In some cases it can be felt on deep palpation. However, the nasal bones heal very well and are stable after the initial healing period.
Regards
Dr. J

Osteotomy to narrow dorsum, what happens?

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