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CC BY 4.0 · Arch Plast Surg 2024; 51(01): 002-013
DOI: 10.1055/a-2201-8219
Cosmetic
Special Topic

Nasal Osteotomies Revisited in Asians: Surface Aesthetics, Anatomical and Technical Considerations

Jae-Yong Jeong 
1   THE PLUS Plastic Surgery Clinic, Seoul, Republic of Korea
,
Taek-Kyun Kim 
1   THE PLUS Plastic Surgery Clinic, Seoul, Republic of Korea
,
Inhoe Ku 
1   THE PLUS Plastic Surgery Clinic, Seoul, Republic of Korea
,
Bakhtiyor Najmiddinov 
2   Plastic and Reconstructive Surgery, Shox International Hospital, Tashkent, Uzbekistan
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Abstract

Background Although osteotomy is commonly performed in rhinoplasty, it is difficult for less experienced surgeon to understand mechanism of the procedure. The primary goal of this study is to improve understanding of nasal osteotomy in Asians by considering the surface aesthetics and anatomy of the nose as well as their relationships with the surgical procedure.

Methods Surface aesthetics, anatomic considerations, kinetics of medial and lateral osteotomy, fracture levels of osteotomy were discussed in detail by reviewing the previous publications and 18 years of our experience. Moreover, the technical details of osteotomy were explained and personal tips for performing successful osteotomy were described.

Results Dorsal and lateral aesthetic lines, dorsal and basal widths are main characteristics related to the surface aesthetics of nose to perform the osteotomy. In addition, these features are different in Asian population due to the anatomic difference with Caucasians, which makes the procedure difficult and requires more attention to perform osteotomy.

Conclusion Because osteotomy is one of the most traumatic and invasive part of the rhinoplasty, it is crucial for the rhinoplasty surgeon to understand the relationship between surface aesthetics and osteotomy techniques to produce consistent and reproducible results.

Keywords

rhinoplasty - osteotomy - nose

Authors' Contributions

JY. J. was responsible for conceptualization. JY. J. and TK. K. were responsible for data curation. JY. J. was responsible for formal analysis. JY. J. was responsible for methodology. JY. J. and TK. K. were responsible for supervision. JY. J. was responsible for validation. JY. J. and TK. K. were responsible for writing --original draft. TK. K., I. K., and B. N. were responsible for writing --review and editing. All authors read and approved the final manuscript.


Patient Consent

The patients provided written informed consent for the publication and the use of their images.




Publication History

Received: 05 July 2023

Accepted: 25 October 2023

Accepted Manuscript online:
31 October 2023

Article published online:
28 February 2024

© 2024. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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