Application of Osteotomies in Aesthetic Rhinoplasty.

Jeong,  Jae Yong; Kyung,  Hyun Woo; Oh,  Sang Ha; Kang,  Nak Heon; Ryu,  Yong Ah

Original Article

Journal of the Korean Society for Aesthetic Plastic Surgery 2010;16(1):15-20.
Published online February 1, 2010.

Application of Osteotomies in Aesthetic Rhinoplasty.

Jae Yong Jeong, Hyun Woo Kyung, Sang Ha Oh, Nak Heon Kang, Yong Ah Ryu

¹PLUS Aesthetic Clinic, Daejeon, Korea.
²Department of Plastic & Reconstructive Surgery, College of Medicine, Chungnam National University, Daejeon, Korea. yongaryu@hanmail.net

Abstract

Nasal osteotomy for aesthetic results is required in patients who have broad nasal bone. Since the procedure is difficult, many operators hesitate the surgery. From January 2007 to July 2009, we performed 77 cases of nasal osteotomy, consisting of paramedian oblique medial osteotomy or median oblique-medial osteotomy and percutaneous lateral osteotomy. Most of the patients had satisfying results, however three patients had asymmetric shape and inappropriate inward movement of nasal bone which required revision with percutaneous lateral osteotomy. Osteotomy procedure varies, depending on surgeon's preference and experience, however, each surgeon should be aware of good and weak points of those procedures and use the most suitable method. In order to achieve maximal satisfying results, preoperative analysis of patients and minimal invasive handling should be done. Based on these efforts, this method could broadly be used in the aesthetic field.

Key Words: Nasal bone, Osteotomy, Nose