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Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon

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Recent answer posted by Richard W. Westreich, MD

Q: How to fix hereditary crooked nose?

A:

To fully answer your question requires a dissertation, of sorts. Correction of deviated noses is potentially the hardest facial cosmetic surgery of them all. I have written several medical papers on the subject in which patient anatomy is analyzed and certain surgical techniques are explored. Every deviated nasal case is unique, in my experience. I developed a technique, called foundation rhinoplasty to help deal with nasal deviations. It involves several key grafts and maneuvers to help address the issues at hand.

There are many factors at play: The external nose itself having asymmetric structures on the right and left sides, the septum (both bony and cartilaginous) being deviated, and likely an underlying facial asymmetry, which creates problems with the foundation of the nose itself.

Some areas can be corrected, while others require camouflage techniques.

Most often, a deviated nose can be corrected to a point close to straight, but not exactly straight. For most patients, this is more than enough from both a functional and cosmetic standpoint.

Make sure you seek information from a surgeon that specializes in nasal airway AND deviated nose Rhinoplasty. Make sure they show you the frontal and base views from previous patients, not just profiles and 3/4 views.

All in all, your deviation is not that significant and should be correctable with a  resonable degree of predictability.

I wish you the best of luck in your search.

Board certification
EducationUndergraduate:
BA, University of Pennsylvania

Medical School:
MD, NYU school of Medicine, with Honors in Cell Biology
Post-medical school training Residency:
Otolaryngology, Mount Sinai Medical Center

Fellowship:
Facial Plastic Surgery, Mount Sinai Medical Center
Professional membershipsAmerican Academy of Facial Plastic and Reconstructive Surgery (AAFPRS)
Medical or professional licenseNY
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Location45 West 67th Street

Manhattan, NY View map
Additional Office Locations185 Montague Street
Suite 701
Brooklyn, NY 11201

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Articles by Richard W. Westreich, MD

Last modified 16 days ago