Intermediate osteotomies in rhinoplasty: a new perspective

Area of Science:

• Plastic Surgery
• Facial Aesthetic Surgery

Background:

• The nasal dorsum is crucial for facial harmony.
• Cosmetic changes in the nasal dorsum can impact appearance and function.

Purpose of the Study:

• To present and evaluate a novel approach to intermediate osteotomies for nasal dorsum contouring.
• To assess the aesthetic outcomes and functional preservation of this technique.

Main Methods:

• Retrospective evaluation of 50 consecutive patients undergoing the modified intermediate osteotomy.
• Patient-reported outcomes using a 5-point visual analog scale (VAS) for cosmetic satisfaction.
• Nasal function assessment using the validated Nasal Obstruction Symptom Evaluation (NOSE) scale.

Main Results:

• Excellent aesthetic results with an average VAS score of 4.4.
• Over 50% of patients reported complete satisfaction with the cosmetic outcome.
• Postoperative NOSE scale scores indicated preserved nasal function.
• No typical complications of upper nasal osteotomies were observed.

Conclusions:

• The modified intermediate osteotomy technique effectively achieves natural, harmonious nasal dorsum contours.
• This approach successfully balances aesthetic improvement with the preservation of nasal function.
• The technique is a reliable option for patients with undesirable nasal dorsum aesthetics.