Q: Do low bridged, wide Asian noses benefit from lateral osteotomy? Will it help with nasal base narrowing and overall making the nose less wide?
A: For wide nasal bones that are obliquely oriented, lateral osteotomies will be successful in narrowing and improving the shape of the dorsum. In some Asian patients, the dorsum is so low, and the bones so horizontally oriented, that osteotomies will not be a great choice and recreating dorsal aesthetic lines with a dorsal graft (such as a diced cartilage fascia – DCF) is the best option.
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