REVISION SURGERY WITH OSTEOTOMIES
Dear MikeLerps, Yes revision nasal surgery often includes osteotomies. Best regards, Michael V. Elam, M.D.
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.
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
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.
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!
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.
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.