Narrowing the nose is needed in patients with wide dorsum for aesthetic improvement. Widening the dorsum is needed when the bony pyramid was pinched by previous osteotomy and the patient complains of nasal obstruction. Sometimes, widening the dorsum is necessary for aesthetic purpose, too. Narrowing and widening the dorsum all need osteotomy for bone management. Osteotomy is the most invasive technique among rhinoplasty techniques. It is totally different from breaking the nose unintentionally. It finely cuts the bone according to the surgeon's plan. Brusing and edema are unavoidable side effects of osteotomy, but they can be minimized with proper techniques. Cast is necessary for a week to reduce edema.
My blog will explain easily the concept, techniques, result, complication, and considering points of rhinoplasty, Asian rhinoplasty, revision rhinoplasty, fucional rhinoplasty, and nasal reconstruction. As a rhinoplasty surgeon with more than 20 years of experience, I will try to help people who want useful and frank information on rhinoplasty.