Nasal bone osteotomy width reduction
Surgery to narrow thick nasal bridge and nose width from the root using osteotomy
Recommended for
- Those who feel their nasal bridge is thick and the nose width is broad when viewed from the front
- Those who want to fundamentally change the width of the nose
- Those who want to correct an aquiline nose (hump) and refine the width at the same time
- Those concerned about the nose width that cannot be resolved with makeup
What is nasal bone osteotomy width reduction?
Nasal bone osteotomy width reduction (Lateral Osteotomy of the nasal bone) is a surgical procedure that reduces the nose width by separating 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 technique that can address "skeletal-level width" that cannot be changed through soft tissue manipulation alone.
Applicable concerns
The wide nose width is often caused by "outward protrusion of the nasal bone," and osteotomy is effective in such cases. On the other hand, if the main cause is alar (nostril) flaring, alar reduction is more appropriate, and accurate diagnosis is important.
Surgical procedure
An incision is made from inside the nostril or nasal columella (open technique), and the nasal bone periosteum is separated. In addition to lateral osteotomy, medial or medial osteotomy is combined as needed, the bone is moved and then fixed (post-operative fixation with taping or plaster cast).
Post-operative course
Post-operative fixation with plaster cast or taping is required for 1–2 weeks. Swelling and bruising appear prominently but improve significantly within 2–3 weeks. The final bone stabilization and shape confirmation should be assessed at 3–6 months post-operative (individual variation).
Features
A surgery to refine a large, thick nose into a slim, well-defined nasal bridge. When the nasal bridge is thick, it lacks definition and creates a bulky impression. First, a 3 mm incision is made on the inside of the nose and on the side of the nose. Next, using a specialized chisel on the nasal bone, several cuts are made, the nasal bone is moved to the center and fixed, and then the area is immobilized with a plaster cast from above the skin for 2 weeks. It may also be performed after aquiline nose correction or after hump (the bump in the center of the nasal bridge) removal to refine the nasal bridge.
Treatment details
- Treatment time
- 60 minutes
- Plaster cast fixation
- 10–14 days
- Downtime
- Individual variation, but approximately 1–2 weeks.
- Durability
- Semi-permanent
- Cleansing
- After plaster cast removal
- Makeup
- Other areas: from the next day
- Showering
- From the neck down: from the next day
- Bathing
- From 1 week onward
Pricing
Nasal bone osteotomy width reduction
| Treatment | Price (incl. tax) |
|---|---|
| Nasal bone osteotomy width reduction (severe) (Dr. Tetsu) |
|
| Nasal bone osteotomy width reduction (severe) + Aquiline nose correction |
|
| Nasal bone osteotomy width reduction (severe) + Hump removal |
|
| Nasal bone osteotomy width reduction (Dr. Tetsu) |
|
| Nasal bone osteotomy width reduction + Aquiline nose correction |
|
| Nasal bone osteotomy width reduction + Hump removal |
|
| Nasal bone osteotomy width reduction (severe) (Other doctors) |
|
| Nasal bone osteotomy width reduction (Other doctors) |
|
※ All prices include tax.
FAQ
骨切り後の骨は固定されますか？
テーピング・ギプスで骨切り後の位置を保持します。骨は術後数週間で仮固定（callus形成）し、数ヶ月かけて完全に安定します。手術直後〜2週間程度は強い衝撃を避けていただく必要があります。
ZetithAIに続けて聞く →腫れはどのくらい続きますか？
鼻骨の骨切りは顔面の骨を操作するため、腫れは比較的大きく出ます。ピークは術後2〜3日で、2〜3週間でほぼ日常生活には支障ないレベルになります。最終的な形状の確認は術後3〜6ヶ月をお待ちください（個人差あり）。
ZetithAIに続けて聞く →わし鼻修正術と同時にできますか？
同時手術が可能で、実際に組み合わせて行うケースが多い術式です。わし鼻（ハンプ）を削った後に横幅を合わせて狭めることで、より整ったプロファイルが得られます。
ZetithAIに続けて聞く →小鼻縮小との違いは何ですか？
骨切り幅寄せは「鼻骨の横幅」を縮小する手術、小鼻縮小は「鼻翼（小鼻）の広がり」を縮小する手術です。悩みの部位が異なり、適応も診察で判断します。両者を同時に行うこともあります。
ZetithAIに続けて聞く →Consultations about this treatment are free.
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