Rhinoplasty is a common type of nose surgery which is performed to enhance the appearance of the nose. It should only be performed by a surgeon who has received specialist training in the procedure, such as an appropriately trained ENT surgeon. Some of the common problems which can be corrected through rhinoplasty include bumps on the bridge, projection of the tip, and nose size.

The techniques used during nose surgery depend on the particular case. One of the most common techniques used in rhinoplasty is osteotomy. 

What is osteotomy?

Osteotomy is a term used to describe surgical procedures during which bone is divided, or a piece of bone is cut off. In most rhinoplasty procedures, some form of osteotomy is usually required, to move or modify the osseocartilaginous vault, which comprises a major part of the nose.

In rhinoplasty, osteotomy may involve the ‘excising’ or ‘breaking’ of bones in the nose. It is usually performed to correct a nasal hump, enhance a twisted nose, or make a wide nose narrower. As the surgical instruments used during osteotomy make small sounds while touching the bone, patients are usually kept under heavy sedation or general anaesthesia, while the procedure is being performed.

One of the common osteotomic approaches used in nose surgery is the media osteotomy. During this type of osteotomy, the nasal bone is cut in the middle with a ‘back cut’. Then, a small osteotome (bone knife) is positioned along the edge of the bone, and gently tapped to move it along a previously planned path. After the bone is cut, it can be moved, as required.

The nasal bone can generally be moved only after it has been carefully cut from the tissue and cartilage around it. This is usually done with the help of sharp chisels, which may be introduced either from the inside of the nose, or through a small incision made at the side. The ENT surgeon performing this procedure needs to possess a high level of skill, to ensure minimal damage to the nasal lining, and reduce post-operative swelling and discomfort.

Situated in the heart of London, ENT London is a highly reputed ENT clinic that specialises in rhinoplasty. Led by Professor RS Dhillion who has more than 30 years of experience in the field, the ENT surgeons at ENT London are skilled at performing even the most technically complex forms of nose surgery. All our ENT surgeons are accredited with the UK General Medical Council, and are well known for their expertise.