GNG
Broad nose Rhinoplasty

What is GNG Broad Nose Rhinoplasty?

• A Broad nose refers to a nose with a wide width that gives impression of a flat and stubby nose. To correct this, the width of the nasal bone must be narrowed which calls for an osteotomy. However, if the nasal bridge is narrowed down too much, nasal congestion may occur.

  GNG Broad Nose Rhinoplasty is proceeded only after precise examinations to identify the width of air passage and the surgery is performed only by experienced ENT specialists with vast knowledge in anatomy structure.

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[ Principle of Broad Nose Rhinoplasty ]

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  observed from below

  Broad Nasal Bone

• 

  observed from below

  Nasal bone is held together closer to create a higher nose line after osteotomy

Advantage of GNG Broad Nose Rhinoplasty

Point 1 Osteotomy to correct a broad nasal bone

• If the fundamental reason of a broad nose is ignored and an implant is simply inserted into the nasal bridge, the width of the nasal bone and implant will not be in sync and cause a dent or make the inserted implant look very obvious, resulting in an unnatural looking nose.

  GNG Broad Nose Rhinoplasty proceeds with an osteotomy to make a natural and beautiful nose line. If necessary, an alar reduction, fastening of cartilage on the nasal tip, and an implant insertion will be performed for the perfect nose line.

• 

  If implant is inserted without solving the fundamental problem

  implant is exposed and
  makes it obvious you had surgery

  

  If width of nasal bone is narrowed down by osteotomy

  Shows definite effect and
  natural ideal nose line is complete

Why GNG Osteotomy?
GNG Osteotomy Surgery Method

There are two methods to perform an osteotomy and each method has its pros and cons.
At GNG, we enhance the pros and reduce the cons by first making a wide excision of the nasal bone to improve the functional aspect of the nose. Decongestion surgery is also performed to improve the nasal air passage thus completing the surgery with a higher degree of completion.

General Rhinoplasty for Broad Nose Rhinoplasty and Osteotomy
One method is selected out of the two below when an osteotomy in general is performed

• If excision area is wide

  Broad nose is narrowed but there is
  a high chance of nasal congestion
  due to a narrow air passage.

  Air passage is narrowed but
  with a high chance of nasal congestion occurrence

• If excision area is narrow

  Little chance of nasal congestion occurring,
  But the correction of a wide nose is inadequate

  Correction of a wide nose is inadequate

or

GNG Broad Nose Rhinoplasty and Osteotomy Surgery Method
Wider excised osteotomy and decongestion surgery is performed
for the perfect functional/aesthetic improvement

• Broad excision
  of nasal bone!

  Corrects
  broad nasal bridge

• Perform decongestion
  surgery together
  
  (Nasal valve Reconstruction,
  Septoplasty)

  Air passage is broadened
  to prevent congestion that may happen
  due to the excision of a broad nasal bone
  

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For the ideal nose line!
Additional procedures are performed at the same time

• 01

  Broad alar is excised

  If alar is broad,
  excision is made and sutured.

  

• 02

  Fasten blunt alar to nasal tip cartilage

  Blue alar cartilage will be firmly tied up with extracted septal cartilage and pulled up together.

  

• 03

  Insert implant to correct height

  If height needs to be increased,
  
  implant is inserted after osteotomy

  

Point 2 Correct septum deviation at the same time
to achieve the greatest effect.

There is a limit in reducing the width of the nasal bridge via an osteotomy if you have septum deviation.
At GNG, we first correct the deviated septum and then perform an osteotomy to deliver more satisfying results.

Point 3 Inner/outer structure of the nose is considered before surgery plan

Generally it is perceived that if your outer nose structure is broad, so will the inner nose structure.
This, however, isn’t true. The inner nose has a different structure from the outer structure and therefore the appearance of your nose doesn’t correlate to the inner structure of the nose.
For this reason, we carry out examinations prior to surgery to get a good grasp of the nose’s inner structure first and then construct a surgery plan for best results.

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  1. Inner/outer nose structure is analyzed using 3D-CT scan

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  Customized surgery plan and design