Is It Possible to Shave the Sides of Nasal Bone?

Question

I understand this is done for bumps on the top of the nose. The bones on the side of my nose stick out and I would like to reduce them without losing the overall shape. I also don't want my nose to look like a stick; just more refined. Can this be done?

Eric M. Joseph, MD · Answer

If the edges of your nasal bones are filed down, this may lead to a wider appearance of your nose. So a qualified, experienced Rhinoplasty surgeon would likely need to in-fracture your nasal bones at the time of surgery to correct an appearance that could be too wide.
I hope this helps, and best regards.

Otto Joseph Placik, MD · Answer

There are many ways to do this but it depends on the thicknes of the bones. Sometimes this is due to cartilage and not bone. You should meet with a surgeon to discuss your concerns. Certainly if you desire a conservative correction, express this to the surgon, to review your options

Jeffrey E. Schreiber, MD, FACS · Answer

Instead of shaving the bones, the bones are usually broken incompletely to bring them closer together and narrow the width of the nose. Make sure you let your surgeon know that you don't want to narrow of a nose. The entire procedure can be done as an outpatient and is very well tolerated. Good luck!

Edward J. Gross, MD · Answer

Yes, the nasal bones can be shaved or rasped on the sides to narrow the width of your bridge. Osteotomies (re-setting or contolled fractiring) are also used to reduce the wideness of the nose, yet result in a natural look.

Brent Moelleken, MD · Answer

Shaving the nasal bone generally achieves a subtle improvement only.  The nasal bones just aren't that thick.  When a significant hump is removed or a significant narrowing of the nose is needed, an osteotomy (insetting of the bones) is generally necessary.
Both techniques are valuable in different circumstances.

Tanveer Janjua, MD · Answer

The protruding nasal bones can be easily shaved off by rasping or using an osteotome (chisel). What you might not realize is that there is a cartilaginous part to the deformity as well. A blade is used to shave that off followed by an osteotome or a rasp for the bone.
Regards

Michael A. Persky, MD · Answer

Hi Escape,If all you desire is to shave down lateral nasal bone protuberances, it can be done using a rasping technique while preserving the overall shape of your nose.Make sure to choose a qualified rhinoplasty specialist who understands exactly what you want, and who can perform a subtle rhinoplasty.Good luck and be well.Dr. P

Vincent N. Zubowicz, MD · Answer

To narrow the nose, usually a combination of infracturing (the bone on the side of the nose is cut and pushed in) and rasping (sanding). I infracture around 1 in 3 rhinoplasties that I do. It's really fairly simple and predictable. Although it sounds painful, it really is not.

William Portuese, MD · Answer

During a rhinoplasty procedure the corners and top of the nasal bones can be filed down, but the sidewalls are usually not filed. The sidewalls are usually narrowed through osteotomies, breaking of the nasal bones to set them in a new natural position. If the sidewalls are filed down too much they can be more easily fractured and weakened.

Steven Wallach, MD · Answer

Usually the bony dorsum is rasped or shaved to remove bumps. If the edge is irregualr , then yes this can be shaved a bit.  It may however make the nose look wider.

Is It Possible to Shave the Sides of Nasal Bone?

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