ePlasty: Vol. 19
Understanding Why Lateral Osteotomy During Rhinoplasty Can Be Performed Safely
Arian Mowlavi, MD, FACS,a Jay B. Kim, BS,b Natalia Molinattic Sean Saadat, BS,d Soheil Sharifi-Amina, DO,e and Bradon J. Wilhelmi, MD, FACSf

aCosmetic Plastic Surgery Institute, Laguna Beach, Calif; bUniversity of California, Irvine; cWashington University in St Louis, St Louis, Mo; dGeorge Washington University School of Medicine & Health Sciences, Washington, DC; eRiverside Community Hospital, Riverside, Calif; and fHiram C. Polk Jr Department of Surgery, University of Louisville, Louisville, Ky

Correspondence: drmowlavi@gmail.com
Keywords: osteotomy, rhinoplasty, nasal bridge, safety, nose job

Background: Lateral osteotomy is a mainstay of rhinoplasty surgery and involves fracture of the nasal and maxillary bones to narrow or widen the nasal dorsal bridge and base. To avoid nasal midvault collapse following rhinoplasty, the accepted “high-low-high” lateral osteotomy technique advocates for the preservation of a triangular strut of maxillary bone when initiating the osteotomy. Objective: We evaluated the risk of starting a lateral osteotomy in the “high” positi .......