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2026.01.16
What is osteotomy widening? | Indications and Expected Changes
As a board-certified plastic surgeon, I have handled numerous cases involving trauma, reconstruction, and congenital conditions, cultivating precise techniques and deep anatomical understanding. Driven by the desire to deliver the transformative power of beauty—where visible change uplifts the spirit—I pursued a career in cosmetic surgery. My areas of expertise include comprehensive eye treatments, injectable therapies, and anti-sagging procedures. Guided by a commitment to sincerely address each patient's aspirations, I provide meticulously crafted treatments focused on achieving beauty.
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I am Masataka Fujihashi, a board-certified plastic surgeon.
The nasal bridge appears thicker and the upper half of the nose appears wider when viewed from the front.
These concerns are addressed by theOsteotomy widening (nasal bone osteotomy)」です。
The impression of the nose is strongly influenced by the underlying skeleton as well as the cartilage.
The osteotomy width is theSurgery that directly approaches the most basic nasal boneis.
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What is an osteotomy width
Osteotomy widening is performed by making a planned osteotomy on the left and right nasal bones and then pulling them inward and securing them,Surgery to adjust the width of the nasal bridgeis.
When the upper half of the nose is thick or has a left-right difference or curvature, the skeleton itself can be reshaped by adjusting it.
It is also an effective option for "bone-derived thickening" and "oblique noses" that cannot be improved by cartilage manipulation alone.
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Applicable Cases
Who is suited for this surgery,
The upper part of the nasal bridge appears thicker.
Left-right difference or curvature at the level of the nasal bone.
I want to clear the bridge of the nose from the front view.
I want to soften the masculine, heavy-boned impression.
This is the case.
On the other hand, if the impression is primarily due to the tip or wings of the nose, osteotomy alone may not be sufficient to change the appearance.
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The concept that determines the finished product
What is important in osteotomy wide,Where is the width of the nasal bone coming from?The first step is to accurately identify the
If too much is gathered, it will look unnatural; if not enough, there will be little change.
It is important to design and perform osteotomy to determine the point at which the nose will stand up firmly.
Therefore, it is essential to consider the overall balance including frontal, oblique, and profile views before surgery.
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Procedures and safety considerations
The emphasis should be on limiting osteotomy to the extent necessary and minimizing the burden on the surrounding tissues.
In addition, downtime is minimized as much as possible by using different ultrasonic bone shaving machines and precision bone chisels to precisely manipulate only the bone.
A nasal approach based on an intranasal approach will leave no scarring on the outer skin.
Careful attention should also be paid to the amount of bone movement and fixation position to prevent postoperative nasal obstruction sensation.
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Combination with other surgeries
If the nasal line is highly uneven, a hump excision may be used in conjunction with or to improve the line.
If volume is noticeable at the tip or lower part of the nose after osteotomy, a combination of nasal tip reduction, nasal septum extension, and autologous tissue grafting can be used to balance the overall appearance.
The nose is not a structure that is only partially complete.
It is important to plan treatment with an awareness of the connections between the upper, lower, left and right sides of the body.
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Postoperative course and precautions
Postoperatively, the nose is immobilized in a cast for approximately one week to stabilize the nose.
Swelling and internal bleeding will subside with time and approach a natural look in 1-3 months.
Until the bone is stabilized, strong pressure, prone sleeping, and early use of glasses should be avoided for a period of time as they may lead to bone misalignment.
Also, for some time after the surgeryFeeling of stiffness, pressure, or nasal congestion due to swellingmay be felt, but most will diminish over time.
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■ Summary
Osteotomy widening is the horizontal width and bend of the nasal bridge.Surgery to realign from the skeletal levelis.
This is an effective option for problems such as the upper half of the nose appearing thicker and giving a heavy impression from the front.
On the other hand, misplaced adaptation can lead to lack of change and an overall imbalance.
Determining exactly where in the nasal bone the cause is and planning for it in combination with other surgeries will lead to a natural result.
Osteotomy widening is not a stand-alone, complete surgery,
Treatment to be selected based on overall nasal structure and balanceis.
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【Profile】
Masataka Fujihashi, MD, Plastic Surgeon
Leveraging expertise as a board-certified plastic surgeon, I offer comprehensive facial cosmetic procedures including eyelid and nose surgery, facial liposuction, thread lifts, and hyaluronic acid injections. From incisional surgeries and revision procedures requiring delicate design to minimally invasive injections and lifts with minimal downtime, I strive to provide treatments tailored to each patient's ideal outcome.
We are dedicated to achieving natural results and minimizing downtime, pursuing medical care that leaves you feeling confident in your choice through sincere consultations.
Designing natural beauty with trust.
We cherish that sentiment and apply it to our daily practice.
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【Career】
March 2015: Graduated from the School of Medicine, Showa University
April 2015 Showa University Yokohama Northern Hospital Initial Clinical Training
April 2017 Showa University Hospital Department of Plastic Surgery
October 2017 Maebashi Red Cross Hospital Plastic Surgery / Cosmetic Surgery
April 2019 Nishio Municipal Hospital Plastic Surgery Department
April 2020 Showa University Fujigaoka Hospital Plastic Surgery Department
November 2020 Ota Nishinouchi Hospital Plastic Surgery / Cosmetic Surgery
July 2022 Tokyo Rosai Hospital Plastic Surgery / Cosmetic Surgery Department Head
July 2022: R.O.clinic (Part-time), Kusano Taro Clinic (Part-time)
April 2024 Deputy Director, Ginza TA Clinic
November 2025 BIANCA CLINIC
【Professional Affiliations and Qualifications】
Japanese Society of Plastic and Reconstructive Surgery Board-Certified Plastic Surgeon
Member of the Japanese Society of Aesthetic Plastic Surgery (JSAPS)
Member of the Japanese Society of Aesthetic Surgery (JSAS)
