Nasal bone osteotomy widening

A nasal osteotomy is a surgical procedure to reduce the size of a large, thick nose to a thin, clean nasal bridge. It is sometimes performed at the same time as hump osteotomy surgery to thin and refine the nasal bridge.

Recommended for this type of person

Those who wish to have a thinner nasal bridge.
Those who want to reduce the size of their nose
Those who are concerned about the thickness of the nasal bridge.
For those who wish to have a clear nasal line.

Features of this hospital

We mainly use the close method of surgery in our clinic.
Surgery is performed through a 2 mm incision inside and outside the nose.
A 2 cm incision is made medially and an osteotomy is made.
A chisel is used to make a medial and lateral osteotomy on the nasal bone to create two bone fragments, which are then moved inward.
The nose is then immobilized in a cast for about 2 weeks to bring the nose in and stabilize it. Since the incision is made from the inside of the nose and 2mm outside, the scar is not noticeable.

At our clinic, we use 3D simulation software "vectra" before the surgery to show you a 3D image of the postoperative result, so you can visualize the postoperative result to some extent before the surgery.

Anatomy of the nose and osteotomy lines

-surgery art of war

I. Incision in the nostril and 2mm on the skin side
II. Move the osteotomized bone fragments created by osteotomy medially
III. Cast immobilization to consolidate the osteotomized bone

-Image of completion Completion image

Before
After

(medical) case

-Rhinosternotomy Nasal bone osteotomy widening

Combined treatment with nasal septum extension + rhinoplasty

Left: before surgery Right: 3 months later
Left: before surgery Right: 3 months later

Postoperative course and follow-up

Treatment Time: 50-60 minutes

Postoperative hospital visit: Stitches removed after 1 week

Postoperative swelling: About 1 to 2 weeks (depending on the individual)

plaster cast: 2 weeks

Treatment on the day of counseling: not allowed

anesthesia: General anesthesia, combined with local anesthesia

shower: It is possible from the next day, but the wound cannot be wet because it is in a cast.

make: Possible from the same day except for the day of creation.

face-washing: The wound cannot be wet for one week because of the cast

Charge

Nasal bone osteotomy widening: ¥ 605,000

: All prices include tax.

Postoperative risks and side effects

-Philadelphia infection: If there is prolonged "heat," "redness," "severe pain," or "severe swelling" in the treated area after surgery, infection is suspected.

-Blood Blood pools.: After surgery, bleeding may occur in the wound and blood may pool. If blood accumulates, the nasal apex will swell to a purple color. If left untreated, the pooled blood can cause infection and thickening of the nasal bridge.

-Don't. Effects of wide backward, not enough: Depending on the original bone configuration and other factors, postoperative fixation may loosen, resulting in retroversion, or the effect may be insufficient. We may consider revision surgery while monitoring the patient's progress.

-Nasal obstruction (feeling of difficulty passing the nose) Nasal obstruction (feeling of difficulty in passing the nose): Narrowing the width of the nasal bridge results in a narrowing of the space inside the nose. In the early postoperative phase, the mucous membranes inside the nose may swell, causing the nose to feel less clear.
About 3-6 months after surgery, the swelling of the mucous membranes inside the nose recedes and there are usually no remaining problems with nasal passage.

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