Ann Plast Reconstr Surg | Volume 4, Issue 2 | Research Article | Open Access

Deviated Nose: Partial Lateral Osteotomies in a New Preservation Rhinoplasty Concept

António Sousa Vieira, Dunja Milicic*, Carlos Torrão Pinheiro and Guilherme Carvalho

Department of Otorhinolaryngology, Hospital Lusíadas, SA Porto, Portugal

*Correspondance to: Dunja Milicic 

Fulltext PDF


Background: A deviated nose continues to be a problem to solve in Rhinoplasty. Various techniques were presented as a possible solution of this aesthetic and functional nasal deformation. In the light of current trend of preservation of structures and function, a modification of osteotomies was presented. Goals: The goal of this paper is to present partial lateral osteotomies surgical technique performed with piezo-electric instruments. Methods and Results: Partial and incomplete osteotomies were introduced as method to avoid disinsertion of nasal pyramid of glabellar area and to avoid bony step in areas off osteotomy cut. Rhinosculpture in its extended mode was promoted for modulation of bony structure with obtaining immediate aesthetic and structural results, minoring a surgical trauma. Conclusion: An incomplete oblique transverse, lateral and intermediate osteotomies, facilitates the “slide- down” positioning of the bone edges.


Preservation Rhinoplasty; Partial Osteotomies; Rhinosculpture; Dorsal Preservation Rhinoplasty


Vieira AS, Milicic D, Pinheiro CT, Carvalho G. Deviated Nose: Partial Lateral Osteotomies in a New Preservation Rhinoplasty Concept. Ann Plast Reconstr Surg. 2020; 4(2): 1054.

Subscribe to Our Newsletter