Nasal bone width narrowing (Lateral osteotomy)
Surgery to narrow thick nasal bridge and wide nasal width at the bone level
Recommended for
- Individuals who feel their nasal bridge is thick and nasal width appears broad when viewed from the front
- Those who want to fundamentally change their nasal width
- Those who want to correct their aquiline nose (dorsal hump) and refine the width at the same time
- Those concerned about nasal width that cannot be resolved by makeup
What is nasal bone width narrowing?
Nasal bone width narrowing (lateral nasal osteotomy or Lateral Osteotomy) is a surgical procedure that narrows the nasal width by cutting the outer side of the nasal bone using a specialized chisel (osteotome) or micro-saw and moving the nasal bone inward. It is the only surgical method that can address the skeletal-level width that cannot be changed by soft tissue manipulation alone.
Concerns that may be addressed
The wide nasal width is often caused by outward projection of the nasal bones, and bone cutting is effective in such cases. On the other hand, if the primary cause is nasal ala (nostril) flare, alar reduction is more appropriate, making accurate diagnosis essential.
Surgical procedure
An incision is made through the nostril or columella (open technique), and the nasal bone periosteum is lifted. Lateral osteotomy is combined with medial or medial osteotomy as needed, the bone is repositioned and then fixed (post-operative fixation with taping or plaster).
Post-operative course
Post-operative fixation with plaster or taping is required for 1–2 weeks. Swelling and bruising appear prominently but improve significantly within 2–3 weeks. Final bone stability and shape confirmation takes approximately 3–6 months post-operatively (individual variation).
Features
A surgical procedure that narrows and refines a large, thick nose into a slender nasal bridge. When the nasal bridge is thick, it appears unclear and bulky. First, an approximately 3 mm incision is made on the inside of the nose and on the side of the nose. Next, several cuts are made in the nasal bone using a specialized chisel, the nasal bone is repositioned to the center and fixed, and then plaster fixation is applied from above the skin for two weeks. It may also be performed after aquiline nose correction or after dorsal hump removal to refine the nasal bridge.
Treatment details
- Procedure time
- 60 minutes
- Plaster fixation
- 10–14 days
- Downtime
- Individual variation applies, but approximately 1–2 weeks.
- Longevity
- Semi-permanent
- Facial cleansing
- Possible after plaster removal
- Makeup
- Possible from the next day on areas other than the nose
- Shower
- Possible from the neck down from the next day
- Bathing
- Possible after 1 week
Pricing
Nasal bone width narrowing (Lateral osteotomy)
| Treatment | Price (incl. tax) |
|---|---|
| Nasal bone width narrowing (severe) (Dr. Tetsu Sou) |
|
| Nasal bone width narrowing (severe) + Aquiline nose correction |
|
| Nasal bone width narrowing (severe) + Dorsal hump removal |
|
| Nasal bone width narrowing (Dr. Tetsu Sou) |
|
| Nasal bone width narrowing + Aquiline nose correction |
|
| Nasal bone width narrowing + Dorsal hump removal |
|
| Nasal bone width narrowing (severe) (Other Dr.) |
|
| Nasal bone width narrowing (Other Dr.) |
|
※ All prices include tax.
FAQ
Is the bone fixed after osteotomy?
Taping and plaster maintain the position after bone cutting. The bone becomes temporarily fixed through callus formation in the weeks following surgery and achieves complete stability over several months. During the immediate post-operative period through approximately 2 weeks, strong impact should be avoided.
Ask ZetithAI about this →How long does swelling persist?
Because nasal bone osteotomy involves manipulation of facial bone, swelling is relatively prominent. The peak occurs 2–3 days post-operatively, and by 2–3 weeks daily life is largely unaffected. Final shape confirmation takes approximately 3–6 months post-operatively (individual variation).
Ask ZetithAI about this →Can it be performed at the same time as aquiline nose correction?
Combined surgery is possible and many cases are actually performed together. By narrowing the nasal width after removing the aquiline nose (dorsal hump), a more refined profile is achieved.
Ask ZetithAI about this →What is the difference from alar reduction?
Nasal bone width narrowing is a procedure to reduce the width of the nasal bones, while alar reduction is a procedure to reduce nasal ala (nostril) flare. The area of concern differs, and suitability is determined by examination. Both can be performed simultaneously.
Ask ZetithAI about this →Consultations about this treatment are free.
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