Overview

Even if it has less of an impact on the expression of the face than the mouth or the eyes, the nose is the feature that is most noticeable and, as such, has a significant impact on its harmony and balance. A flaw in any one of the volumes that make up a face—the nose, chin, mouth, and cheekbones—can throw off the overall harmony of the composition. The majority of the time, improving only one of these components improves the harmony of the whole. But the feature that draws the most attention is the nose. Given that it involves a hollow organ, rhinoplasty is one of the most innovative and delicate procedures in cosmetic surgery for both men and women.

The goal of rhinoplasty or nose job is to improve the nose's aesthetic aspect so that it becomes more harmonious and in proportion to the rest of our face. Having a natural-looking nose that suits our personalities is another important goal of nose surgery.

The following goals can be achieved by rhinoplasty:

• Altering the nose's size
• Alter the nose's shape (especially the tip, breadth, or nasal hump).
• Narrow the nostrils
• Alter the lips' and nose's angle

Different techniques are used during rhinoplasty to visually enhance the nose. Bone and cartilage make up the structure of the nose. The bottom portion of the nose is where the cartilage is located, whereas the lateral and upper halves of the nose are where the bones are mostly located. When a nose surgeon decides to remove a portion of the nasal bone to treat it, the nasal osteotomy procedure is used. To put it simply, a nasal osteotomy entails fracturing the side bones of the nose and repositioning them as needed.

What is Osteotomy?

Any surgical treatment known as an osteotomy involves cutting bones in order to realign or modify them. Thus, an osteotomy rhinoplasty is a surgical treatment in which the nose of the patient is "broken" using an osteotome, a bone-cutting instrument. Osteotomy nose job is a difficult but crucial surgical procedure that, when carried out properly, can provide stunning cosmetic outcomes. Depending on the deformities present, each patient's osteotomies should be customized to fit their specific anatomical requirements.

Therefore, nasal bone osteo ( Osteotomy) needs to be performed by a face plastic surgeon with precision and accuracy since it requires these skills. Docfinderkorea will help you find the right board-certified and skilled surgeon, to benefit from his/her outstanding and precise work, dedication to patients’ needs and aims, attention to detail, and steady and expert hand. 

It seems likely that some patients would wish to avoid having their noses "broken" during rhinoplasty surgery since they are worried about this happening. The bones of the nose are really carefully and precisely cut so they may be relocated, not actually "broken" in the violent sense that the phrase implies.

Which noses are treated by osteotomy surgery?

The majority of noses need an osteotomy during surgery. Especially for:

• Plump and bony noses
• Those with a wide nasal bridge, giving a broad look to the whole nose shape
• Those with a crooked nose and a visible hump
• Those with thick nasal bones
• Those with significant nose trauma
• Those who aim to have a more defined and slimmer nasal bridge

What distinguishes an Osteotomy Nose Job from a Conventional Rhinoplasty?

Traditional rhinoplasty and osteotomy differ from one another in how the surgery is carried out. A bone-cutting instrument known as an osteotome is utilized during an osteotomy rhinoplasty. The osteotome is used to cut through the bone and "break" the nose. This method is meticulously carried out as a precise approach that produces more notable outcomes. Thus, an osteotomy nose job entails moving the position of the nasal bones as opposed to the typical rhinoplasty procedure, which includes reshaping or enlarging the nose. If a patient has a broken nose, crooked nose, or any other type of nose damage, an osteotomy nose job may be advised. A significant nasal hump that would normally make the nose look bigger when seen from the front can also be treated with this technique.

By using instruments that do not cut or break bone, traditional rhino nose surgery shapes and sculpts the cartilage and bone. As an alternative, tiny bits of bone or cartilage are carefully modified, molded, and created to provide an improved shape, size, symmetry, and overall look. A wide range of nasal abnormalities, including asymmetry, lack of definition, dents or depressions in the nose, problems with the nasal tip, wide or narrow nostrils, and more, can be addressed by traditional rhinoplasty.

Types of Osteotomy

Nasal osteotomies come in a wide variety, although they often fall into one of the following groups:

Lateral osteotomy is carried out along the upper jaw's front and, in certain instances, also involves the nasal bone. The nasal pyramid may need to be narrowed or straightened, and a lateral osteotomy may be necessary to seal an open dorsum (open roof).

Medial Osteotomy is often necessary when we need to have centralization of a convex and concave bony section on both sides of a deviated nose. If the nasal hump is quite adjusted, it might not be necessary to perform medial osteotomy because the procedure creates an open roof.

Based on the fracture line, medial osteotomy can be classified as transverse (A), medial oblique (B), superior oblique (C), and paramedian. 

Intermediate Osteotomy is recommended when straightening a convex nasal bone or when a deviated nose with one sidewall that is significantly longer than the other needs to be corrected. It is also recommended when narrowing an extremely wide nose that has a significant height.

During Osteotomy

Osteotomy is performed after rhinoplasty and most of the time under general anesthesia.

The osteotome which is a tool used to execute an osteotomy, is used to create a fracture line on both sides, and then manual pressure is applied to fracture the bone.

All wounds are closed when the osteotomy is complete, and a splint is used to hold the nose in position.

How uncomfortable is the healing process after an osteotomy rhinoplasty?

Typical post-osteotomy rhinoplasty discomfort is mild to severe. Oral pain relievers are often used to treat these post-operative painful sensations and discomfort. In the initial stages following the completion of the surgery, the patient might anticipate some degree of facial swelling and bruising, that can remain for 3 to 4 days and subside within a week. To minimize swelling and speed up the healing process, the patient should apply ice and keep the head elevated.

What can be the complications of rhinoplasty?

The following are a few potential side effects of nose surgery, but they're not exclusive:

• Sickness
• Runny nose
• Rupture in the nasal septum
• The nasal saddle
• Continuous blockage of the nose
• Continuous deviation of the nose
• The presence or persistence of an aesthetic flaw (which could need to be fixed again after a year)
• Issues with anesthesia

FAQ

What Are the Risks of an Osteotomy Nose Job?

• Osteotomy nose job includes:
• Having breathing trouble
• Poorly healing wounds
• Infection
• The nasal septum might be pierced if not performed by an expert
• Skin-related issues, such as skin discoloration

Osteotomy rhinoplasty is it painful?

The early recovery period is typically the most uncomfortable part of any nose surgery. Swelling and bruising are common. Some swelling can persist for a few months after the initial post-operative edema has subsided.

Should I expect bone-breaking?

Since people are concerned about having their noses "broken" during osteotomy rhinoplasty, it is completely understandable why some patients would want to avoid doing it. Actually, during osteotomy surgery, the nose's bones are very precisely and meticulously cut, not literally "broken" in the violent sense that the expression suggests, but rather moved to achieve the perfect balance.

What is osteotomy briefly?

The osteotomy, which literally translates to "the cutting of the bone," is the most efficient way for narrowing the nasal bones. There are other methods as well. The nasal bone is broken on both sides during this surgical procedure, and it is then rearranged to achieve the required width. The improvement in nose look is maximized when hump reduction and osteotomy are done simultaneously. The bridge can be raised if necessary by inserting an implant.

What are the major advantages and limitations of osteotomy rhinoplasty?

Advantages:

• Narrows the nasal bridge.
• Makes the nose look more appealing.
• Long-lasting effects.

Limitation:

• Risks associated with general surgery·
• Transient bruising and swelling

Why I should use Docfinderkorea?

Post-surgery meal- what to eat & what to avoid?

Where to go in Seoul during the recovery period?

Rhinoplasty or nose job’s goal is to achieve nasal harmony with a natural outcome that flawlessly blends into the overall face. The most difficult and crucial part of rhinoplasty is the osteotomy of the nasal bones. The key to a successful procedure is the sculpting of the nasal bone structures. According to the nasal deformity that needs to be corrected in order to produce the desired esthetic results, the kind of osteotomy (medial, lateral, or transverse) is determined.

So, if you are considering undergoing nose surgery, having it in South Korea would be your best choice.