Nasal osteotomy for aesthetic results is required in patients who have broad nasal bone. Since the
procedure is difficult, many operators hesitate the surgery. From January 2007 to July 2009, we performed
77 cases of nasal osteotomy, consisting of paramedian oblique medial osteotomy or median
oblique-medial osteotomy and percutaneous lateral osteotomy. Most of the patients had satisfying
results, however three patients had asymmetric shape and inappropriate inward movement of nasal
bone which required revision with percutaneous lateral osteotomy. Osteotomy procedure varies,
depending on surgeon’s preference and experience, however, each surgeon should be aware of
good and weak points of those procedures and use the most suitable method. In order to achieve
maximal satisfying results, preoperative analysis of patients and minimal invasive handling should be
done. Based on these efforts, this method could broadly be used in the aesthetic field.