# Nasal Osteotomies Revisited in Asians: Surface Aesthetics, Anatomical and Technical Considerations

## TL;DR

This paper explains how to perform nasal osteotomies in Asians by considering surface aesthetics and anatomical differences.

## Contribution

The study provides detailed insights into nasal osteotomy techniques tailored for the Asian population.

## Key findings

- Dorsal and lateral aesthetic lines and widths are key for nasal osteotomy in Asians.
- Anatomical differences in Asians compared to Caucasians make osteotomy more challenging.
- Understanding surface aesthetics and anatomy is crucial for successful osteotomy outcomes.

## Abstract

Background
 Although osteotomy is commonly performed in rhinoplasty, it is difficult for less experienced surgeon to understand mechanism of the procedure. The primary goal of this study is to improve understanding of nasal osteotomy in Asians by considering the surface aesthetics and anatomy of the nose as well as their relationships with the surgical procedure.

Methods
 Surface aesthetics, anatomic considerations, kinetics of medial and lateral osteotomy, fracture levels of osteotomy were discussed in detail by reviewing the previous publications and 18 years of our experience. Moreover, the technical details of osteotomy were explained and personal tips for performing successful osteotomy were described.

Results
 Dorsal and lateral aesthetic lines, dorsal and basal widths are main characteristics related to the surface aesthetics of nose to perform the osteotomy. In addition, these features are different in Asian population due to the anatomic difference with Caucasians, which makes the procedure difficult and requires more attention to perform osteotomy.

Conclusion
 Because osteotomy is one of the most traumatic and invasive part of the rhinoplasty, it is crucial for the rhinoplasty surgeon to understand the relationship between surface aesthetics and osteotomy techniques to produce consistent and reproducible results.