Lateral osteotomies

Cuts in the bone made with an osteotome (similar to a chisel) to create small fracture to allow the nasal bones to move. This is used to narrow a nose and/or straighten it.

Lateral osteotomies are controlled cuts made along the sides of the nasal bones so the bones can be moved into a new position. They are commonly used when the upper portion of the nose is wide, crooked, or left with an open space after a dorsal hump has been reduced. By mobilizing the bones, the surgeon can narrow the bony bridge, improve alignment, or create smoother lines from the front view.

The cuts may be made from inside the nose or through small external punctures, depending on the technique and the shape of the nasal bones. An osteotome, which is a fine surgical chisel, or a powered or ultrasonic instrument may be used. The planned path is based on bone thickness, nasal width, facial proportions, and the direction the bones need to move.