Can a revision procedure include an osteotomie?

Would it be possible to include and Osteotomie in a revision procedure after the original procedure only focused on the tip?

Doctor Answers 7


Dear MikeLerps, Yes revision nasal surgery often includes osteotomies. Best regards, Michael V. Elam, M.D.

Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

Nasal Osteotomy During Revsion Procedure

It s very common to do osteotomies during revision rhinoplasty surgery whether or not the bridge was changed during the primary operation.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Revision rhinoplasty with osteotomies

Most revision rhinoplasty procedures in our practice do require osteotomies placed in the nasal bones.  The osteotomies are placed to narrow or straighten entire bridgeline, close an open roof and improve an inverted V deformity. For more information  and many examples, placed a link and the video below

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews

Revision rhinoplasty: osteotomies

Osteotomy is a technique to control the shape and position of the nasal bones. This can be performed in a primary (first-time) rhinoplasty or a secondary (revision) rhinoplasty. This can be performed even if osteotomies were performed in the primary surgery or not. The important thing to consider is the decision to use osteotomies. Although used in many cases, it is not a routine technique for every case. It should only be used in the appropriate situation: excessively wide or malpositioned nasal bones. Safety comes first. 

Victor Chung, MD
San Diego Facial Plastic Surgeon
5.0 out of 5 stars 11 reviews

Yes, as that is a different approach for a different set of problems

In short, an open-tip (only) approach in the past doesn't preclude a surgeon from addressing nasal dorsum or (widened) mid-vault issues (usually approached "closed" via a different set of internal incisions, but if they are re-opening the tip, that incision certainly can be useful to access the dorsum of the nose).  Hope it goes well!

Paul M. Steinwald, MD
Denver Plastic Surgeon
5.0 out of 5 stars 50 reviews

Can a revision procedure include an osteotomie?

Dear MikeLerpsA revision generally includes any technique required to obtain the two goals of stable nasal shape and breathing through the nose. This often includes osteotomies. In revision cases, very often different types of osteotomies are used. The parts of the nose are interrelated ; the tip, the mid-vault and bony dorsum have to be in line and proportionate. Look for an experienced and properly trained plastic surgeon, certified
by the American Board of Plastic Surgery. See more than one consultation
and make a well informed decision.

Afshin Parhiscar, MD
Bay Area Plastic Surgeon
4.8 out of 5 stars 57 reviews

Revision Rhinoplasty with Osteotomy

Yes, of course you can consider an osteotomy if indicated. Perhaps your original procedure was too limited in scope and now the width of your nasal bones appear out of balance. Discuss your concerns and anything else that you may wish to improve about your nose prior to scheduling your revision. If you are considering a revision rhinoplasty on your tip and an osteotomy is appropriate you should do them together. 

Fred J. Bressler, MD, FACS
Houston Facial Plastic Surgeon
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.