Rhinoplasty Osteotomies, When is Rasping Enough?
Hi Eric, Lot’s of questions, lot’s of consults, that’s good. Rasping is a method to reduce nasal bone height in a graduated fashion. The nasal dorsum may be reduced either with rasping or by using a chisel. Osteotomies are performed to narrow the upper 1/3 of the nose (the boney portion), and/or to close the “open roof” that is left when a large dorsal hump of bone is removed. The cut bones reattach very near to where they were cut, they are just angled more toward the dorsum of the nose (inward) to meet in the midline. With regard to choosing your rhinoplasty surgeon, make sure that you know what bothers you, as well as what you want and what you will be satisfied with. Then listen to the surgeons and make sure that they understand and can deliver what you desire. Good luck and be well. Dr.
