MarinAesthetics

Rhinoplasty Osteotomy


It is quite likely that many people have heard the old adage “You can’t make an omelet without breaking a few eggs.” In essence, this means that you can’t get a worthwhile final product without being willing to destroy something else in the process. This certainly holds true in the case of rhinoplasty (nose job) osteotomy cosmetic surgical procedures. Dr. Vincent Marin’s overall goal of making the nasal features fit in with the rest of the face may not be achieved without having to actually break the nose in order to sculpt it into a more pleasing shape.

What Is a Rhinoplasty Osteotomy Procedure?

In an osteotomy procedure, the nasal bones are carefully broken in order to better realign the shape and position of the nose on the face. It can be performed in instances of overly wide nasal bones (which is usually genetic) or a crooked nose as result of an injury to the nose. A very small chisel, called an osteome, is used to perform the procedure

There are two main osteotomy procedures. A sweeping osteotomy involves one continuous break to the nasal bones and surrounding structures, while a perforated osteotomy makes a series of small punctures through the nasal bone and surrounding structures. The latter is used when there is only a small amount of work needed to be done on the nasal bridge, and scarring is usually quite minimal as compared to a sweeping osteotomy. In some cases, a nasal rasping (filing of the nasal bones) must also be done in order to maintain a symmetrical look to the nose.

What Are the Most Common Side Effects of a Rhinoplasty Osteotomy?

The three most common side effects from an osteotomy procedure are bleeding, swelling, and bruising. Following surgery, the nose will be splinted and bandaged, which will reduce most of the bleeding. Patients should refrain from drinking alcohol starting two weeks before the surgery until two weeks after, as alcohol is a blood thinner, so may lead to excess bleeding. Ice, cold compresses, and taking the herb Arnica montana will all help reduce the amount of swelling and bruising. Keeping the nose bandaged for the recommended length of time will also help reduce swelling.

How Long Will Recovery from the Procedure Last?

In most cases, patients who undergo an osteotomy can return to regular activities, such as driving and going to work or school, within one to two weeks following the procedure. The nasal splints and bandages will usually be removed anywhere from seven to 10 days following the procedure. The nose may still need another week or two to settle into its final shape and size, so patients are advised to wait to see the final results from their surgical procedure.

It may seem more than a little bit scary to consider the notion of having the nose broken as part of a surgical procedure. However, if done correctly, an osteotomy can do wonders to put the nose in balance with the rest of the facial features.

Contact Marin Aesthetics to schedule a rhinoplasty consultation.

About the Author:

Dr. Vince Marin is a San Diego board-certified plastic surgeon specializes in cosmetic surgery of the face, nose, breast and body. If you wish to contact Dr. Marin, write to [email protected] or you can follow him on Twitter!