The structure and shape of the nasal bone can be compared to a short pyramid (short pyramidal cone). Unlike fleshy noses, bony noses have thin skin, and for this reason, they are more flexible than fleshy noses.
Therefore, the surgeon has the freedom to shape the nose and the final result will be better for bony noses. A good surgeon can solve all problems of a bony nose with rhinoplasty. Crooked noses, humped noses, and eagle noses are considered bony noses. For nasal bone surgery, most of the surgeon's emphasis is on the bridge of the nose. The type of skin and its degree of flexibility play a significant role in bony nose surgery. Depending on the type of nose, cartilage can be added or some cartilage can be removed.
The amount of skin tension is also one of the things that should be considered during nose surgery. In fleshy noses, there is very little tension for the skin, and as a result, surgery is less effective for fleshy noses. Having said that, if your nose is fleshy and you decide to have rhinoplasty, it is better to look for a good nose surgeon.
How to straighten the hump on the nose?
How can you remove the bony hump on the nose through rhinoplasty? The most common method used for this is called osteotomy. An osteotome is a surgical tool for cutting the bone and usually looks like a pen. The osteotome is inserted under the skin and gently removes the extra protruding bone and corrects the nose curve from the profile. In situations where the hump of the nose is very small, using a medical file, the entire protrusion can be removed without the need for an osteotome.
The width of the nasal bone
The width of the bridge of the nose from the front view is one of the most obvious defects of the nose. This problem is caused by the excessive width or thickness of the nasal bone. This undesirable width is also usually corrected by a technique called osteotomy. This method consists of creating a fracture under the control of the nasal bone, which causes the nasal bone to be placed inward and the appearance of the nose to look narrower.
How is osteotomy performed?
A medical tool called an osteotome is used to make controlled incisions in the nasal bone, and the purpose of these incisions is to create enough mobility to move the bone.
An osteotomy to narrow the nasal bone is often performed after correcting a hump, even if the bridge of the nose did not appear wide before surgery. And this shows that the wideness of the nasal bone may appear after removing the nasal hump and not be clear before that. This also allows the surgeon to correct the width of the bridge of the nose, which has flattened.
Crooked nasal bone
One of the most difficult things during rhinoplasty is straightening a crooked nose. Many factors make this type of surgery challenging.
The first factor is that cartilage and crooked bone have a certain level of crookedness memory in them, and even though they are straightened, they tend to return to their pre-operative state after the operation.
The second factor is that nasal deviation (especially in congenitally crooked noses) may be located in the asymmetric structure of the face. This means that it may be a bit difficult to find a straight line to position the new nose on.
Translated by: Bita Sayadi