In reduction rhinoplasty, the dorsal hump is removed, which creates an open roof that widens the dorsal width. The nasal pyramid has been likened to a truncated pyramid. As one shortens the overall height of the pyramid by decreasing “pl,” the width of the dorsum (Wt) increases (Figure 1A). Lateral osteotomies fracture the nasal bones so that they can be repositioned and narrowed, that is, they close the open roof. Owing to decrease in dorsal projection and the creation of the wider open roof, hump removal and subsequent osteotomy closure are thought to widen the dorsal width postoperatively. However, this study shows that regardless of technique, dorsal width remains narrow after lateral osteotomies. These results confirm the results of our earlier study (Kortbus et al5) that hump reductions do not necessarily lead to increases in dorsal width, something that had long been accepted as true. Indeed, it seems that regardless of osteotomy technique, reduction rhinoplasty can leave the dorsum narrow. Figures 2, 3, 4, 5, 6, 7, and 8 show preoperative and postoperative photographs of patients who underwent perforating lateral osteotomies performed by the senior surgeon (M.C.). Profile views are also shown to demonstrate how much hump was removed and the lack of existence of significant postoperative edema confounding measurements.