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Nasal bone osteotomy with narrowing

INDEX

Nasal bone reduction (osteotomy reduction) is a rhinoplasty procedure that narrows the width of the nasal bridge by repositioning and securing the nasal bones. It is suitable for individuals with a wide or broad-appearing nasal bridge
, or those concerned about curvature from the nasal bones to the bridge (a crooked nose). By addressing
the underlying bone structure, this technique achieves a sharp yet natural straight line for the nasal bridge.

Case photos of nasal bone reduction (osteotomy). Before the procedure on the left, the nasal bridge appears thick and wide. After the procedure on the right, the nasal bridge is refined and narrowed, achieving a natural straight line.

Our clinic utilizes an ultrasonic bone shaver that removes bone without damaging soft tissue. Since incisions
are made only inside the nostrils, the procedure leaves no external scars.
Compared to traditional bone-cutting methods, it offers reduced downtime and minimizes swelling and bruising.

Illustration explaining the nasal bone reduction (osteotomy reduction) procedure. The left side shows the nasal skeletal structure (nasal bones, lateral nasal cartilage, nasal septal cartilage, alar cartilage). The right side depicts the "osteotomy line" with a red line and arrows indicating the force applied to bring the structure toward the center.

Recommended for people like this

  • I want a straight nose bridge.
  • I want to make my thick nose bridge look slimmer.
  • I want to fix my crooked nose.
  • I want to improve my masculine nose.
  • For those with a wide upper nasal bridge who wish to improve overall balance

Features of Our Nasal Bone Osteotomy and Width Reduction Procedure

At our clinic, we meticulously design the bone-cutting position to match your ideal nasal bridge line, precisely targeting only the necessary areas. We perform
bone cuts using highly safe ultrasonic bone shavers and precise bone chisels, carefully protecting surrounding tissues. Furthermore, we take the utmost care during the procedure to ensure effective results while preventing post-operative nasal congestion (nasal obstruction).

Safe Nasal Bone Width Reduction Using Ultrasonic Bone Shaping Device

At LIVIN CLINIC, we use an ultrasonic bone shaver that precisely removes only hard bone tissue without affecting soft tissues. This allows insertion through a minimal incision
without damaging surrounding critical structures like nerves and blood vessels, significantly reducing physical burden and downtime compared to traditional bone cutting methods.

Furthermore, this device does not generate heat, so it does not affect the delicate nasal cartilage. The
procedure is performed from inside the nostrils, leaving no external scars and achieving a natural finish.

A comparative diagram illustrating the features of an ultrasonic bone shaver. It visually explains the mechanism in three steps: how it selectively shaves only hard "bone" while not reacting to or shaving soft tissues like "blood vessels" and "nerves."

Treatment Process

Design

Based on preoperative simulations and your ideal image, we will propose a nose shape that complements your facial features. On the day of surgery, we will also ensure ample time for design consultation.

Anesthesia

It is performed under intravenous anesthesia or general anesthesia.

surgery

The surgery takes about one hour. Scars may appear inside the nasal cavity, on part of the columella, or on the bridge of the nose, but these are inconspicuous areas.

Treatment Details

Treatment Time Approximately 1 hour
Facial Cleansing and Bathing Facial cleansing is not possible for 7 days after surgery due to the nasal cast. Showering from the neck down is permitted. Please keep the cast on as much as possible for up to 3 weeks after surgery.
Makeup Makeup is permitted starting the day after the cast is removed and stitches are taken out.
Risks and Side Effects (Possible Occurrences) Infection, wound dehiscence, impaired blood flow, swelling, bruising, nosebleeds, nasal congestion, scarring on the columella, decreased sensation in the nasal tip or ears, nasal tilt, inability to elevate the nasal tip, asymmetry in nasal shape, hardening of the nasal tip, sensation of a rounded nasal tip.
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  2. Aesthetic Surgery
  3. Nasal bone osteotomy with narrowing

Reserve

Please feel free to contact us

tel. 03-6712-6626

Business Hours 10:00 AM-7:00 PM

Schedule

  • 2月のスケジュール
  • 3月のスケジュール
Business Hours
10:00 AM-7:00 PM
Closed Day
Irregular holidays
Address

〒150-0001

Tokyo Shibuya-ku Jingumae 6-31-11 iori-Omotesando 2F

Google Maps

Access
1-minute walk from Meiji-jingumae Station Exit 7
4-minute walk from Harajuku Station
10-minute walk from Omotesando Station

All information on this website is provided under the supervision of physicians.

The Director of LIVIN CLINIC, Yoshiaki Shingyouchi, is actively committed to supporting the advancement of aesthetic medicine. In addition to his clinical work, he shares his expertise through lectures at academic conferences and contributions to educational textbooks for physicians. He also holds a doctorate degree in the field of regenerative medicine research.
This website follows the Medical Advertising Guidelines revised and implemented in June 2018, and all content is provided under the supervision of licensed physicians at LIVIN CLINIC.