Nasal Bone Osteotomy (Bridge Narrowing)

Nasal bone osteotomy for width reduction is a surgical procedure that refines the thickness and width of the nasal bridge, creating a clean, slender line for the nasal bones. Because a wide nasal bridge can make the nose look heavy or broad, the procedure aims to achieve a well-balanced, natural finish.

Recommended for those with these concerns:

Wide nasal bridge
Deviated nose

Procedure Details

Small incisions are made inside the nostrils and, where needed, a 2 mm incision in the skin at the side of the nose; the nasal bones are then cut in several places using a fine osteotome. The nasal bones are brought toward the center and secured, and a nasal splint is applied from the outside for about 2 weeks for stabilization. It may also be performed as a finishing touch after a hump reduction, or as a correction for a crooked nose (deviated nasal bridge). Combining this procedure with nasal septal deviation correction makes it possible to create a straighter and thinner nasal bridge.

Recovery and Aftercare

Swelling and Bruising

Swelling and bruising are most noticeable for the first 1–2 weeks after surgery. The nose continues to settle for about 3 months, after which the final shape is visible.

Daily Life

Please sleep on your back so that no strong external force is applied to the nose.
Please refrain from wearing sunglasses and glasses for about 1 month after the surgery, as the bones are still healing. Please also avoid touching or wetting the surgical site for the first week, or until your doctor tells you it is safe to do so.

Risks and Side Effects

Risks and side effects include swelling, bruising, pain, edema, redness, scarring, and infection.

Price

Nasal Bone Osteotomy

¥550,000

Frequently Asked Questions

Q. Is it possible to make my nose higher?

To make the nose higher, augmentation rhinoplasty using an implant or autologous tissue is generally effective. Since they can be performed at the same time, please consult with a doctor.

Q. Is it okay to wear glasses?

Please avoid wearing glasses for about 1 month after nasal osteotomy, as the bones are still healing.

Q. If only osteotomy for width reduction is performed, is the closed approach possible?

It is possible if performed alone. However, performing it alone is quite rare.

Q. I am concerned about scars; is a procedure that incises the skin surface common?

There are two methods: making an incision on the skin surface and making an incision from inside the nostrils.
Making an accurate cut along the planned line from inside the nostrils requires experience. A design line is drawn on the skin, and the surgeon cuts along it from inside the nose, judging the position of the osteotome tip by feel rather than by direct vision.
We will assess your specific case and explain which approach we recommend for you at the consultation.

Q. If I want to narrow my nasal bridge, is it best to undergo nasal bone osteotomy for width reduction together with a full rhinoplasty?

Not necessarily. In our experience, this combination has been chosen less often in recent years. If the goal is to narrow the nasal bridge, an increasing number of patients are choosing the method of inserting a thin implant rather than nasal bone osteotomy for width reduction.
However, nasal bone osteotomy for width reduction remains suitable for the following individuals:
• Patients with a wide nasal root, for whom adding height would make the nose look more prominent
• Those who want to narrow the nasal bridge without adding height to it

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