This is a basic surgical maneuver in most rhinoplasties of almost any kind, either primary or revisional, whenever, the nasal pyramid bones need narrowing at their junction with the maxilla at the nasal pyramid base or paramedial release from the osseous septum at the dorsum.
Open roof gap between the nasal bones and the osseous septum is an unavoidable consequence of dorsal resection, therefore it is mandatory to perform nasal bones infracture osteotomies to close it and prevent deformities requiring revision in the future.
Osteotomies can be either internal or percutaneous piercing the nasal skin with the chisel; due to the scars involved and the lack of precision of the percutaneous ones it is a total must osteotomies are performed internally.
It is carried out with precision chisel insertion performing the bone cut at the ascending maxilla and nasal bone, as well as, should it be required, at the synostosis or bone fusion between the osseous septum and the nasal bones.
This gesture can be done safely by either closed or open approach rhinoplasties.
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DR. ALEJANDRO NOGUEIRA'S NASAL BONES OSTEOTOMIES CASES PHOTO GALLERY
BEFORE & AFTER
INTRAOPERATIVE & TECHNICAL
See more accessing Dr. Alejandro Nogueira's entire Nasal bones osteotomies Before & After gallery of cases.
See more accessing Dr. Alejandro Nogueira's entire Nasal bones osteotomies Intraoperative & Technical gallery of cases.
REVIEWS & RATINGS
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- Even when you feel very similar to another patient in their experience, your grade of satisfaction will likely vary significantly, because you are a unique person and every individual has not only a completely unique psyche, but also uniquely individualistic assessment capacities, expectation tendencies and acceptance processes, some of which are unpredictable even in very well mentally balanced patients who reflect adequately and do all the other right and recommended assessments before and after their procedure.
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- Every patient has to be assessed individually in order to establish a customized prognosis of results and design an individual surgical plan, being somehow unpredictable the real final outcome of any procedure as well the surgical gestures applied during the intervention, since they will depend on multiple particular, frequently unpredictable and sometimes uncontrollable factors.
- Even when you feel that you look very similar to another patient in their images, your results will likely vary significantly, because you are a unique person and every individual has not only a completely unique physique, but also uniquely individualistic body healing capacities, scarring tendencies and recovery processes, some of which are unpredictable even in very-healthy patients who rest adequately and do all the other right and prescribed things before and after their procedure.
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