Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
Recent answer posted by Richard W. Westreich, MD
Q: How to fix hereditary crooked nose?
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 | |
| Education | Undergraduate: 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 memberships | American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS) |
| Medical or professional license | NY |
| Requesting an appointment with Richard W. Westreich, MD using RealSelf.com is free & confidential. Consultation fee: free if you mention RealSelf.com | |
| Location | 45 West 67th Street Manhattan, NY View map |
| Additional Office Locations | 185 Montague Street Suite 701 Brooklyn, NY 11201 |
Comments from Richard W. Westreich, MD on RealSelf.com
- Nose tip refinement (age 40): "Just came across your post and thought I could lend some support. 4 weeks is very early..."
- Septoplasty and Rhinoplasty surgery to remove bump: "At 2 months it is too soon to be concerned. Also, anything that..."
- broken nose repair: "Bone cuts of osteotomies always create ridges at first. The bone edges then form a callus, which..."
- Rhinoplasty left me with a bump inside my nose: "Seems like the silicone is extruding. This is a complication that is..."
- Crooked nose or uneven swelling after Rhinoplasty?: "I am very happy to hear that things have improved. In these..."
Treatments offered by Richard W. Westreich, MD
BotoxBrow lift
Cheek augmentation
Cheek lift
Chemical peel
Chin surgery
Collagen injection
Dermabrasion
Eyelid Surgery
Facelift
Fat transfer
Glycolic peel
Juvederm
Laser hair removal
Perlane
Restylane
Revision rhinoplasty
Rhinoplasty
Septoplasty
Skin rejuvenation
TCA peel


