Can a nose become crooked with age?

There are a number of causes for a nose to become crooked with time.

The most common cause is from prior rhinoplasty surgery.  Certain surgically techniques tend to weaken the nose and allow for scar tissue to pull the nose in one direction.  In viewing your photos, it appears as if you have had prior surgery.

Breaking ones nose also can result in a deviation of the nose.  This tends to be immediate and not a progressively worsening problem.  Yes, it can become worse with age but most of the deviation is immediate.

There are some individuals whose nose truly begins to appear irregular or crooked with age.  This is due to loss of fat and soft tissue lining of the nose unmasking underlying asymmetries and deviations which were camouflaged by the thicker covering we have in youth. Loss of bone in the face also decreases nasal tip support which can contribute to this effect.

Regardless of the cause of your crooked nose, the problem can be corrected by rhinoplasty with Septoplasty.  I recommend you find someone who has a lot of experience in revision rhinoplasty.

Good luck!

 Nasal deviations are the rule as opposed to the exception.  You may not have noticed it when you were younger, or as one person suggesting, the soft tissues just got a bit thinner and the deviation is more noticeable.

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Hi,

As you age, things give way to gravity...that includes your nose. The cartilage and skin in and on your nose is losing elasticity. Loss of elasticity is due to disruption and weakening of the collagen in the dermis of your skin and cartilage of your nose. This in turn will effect the shape of your nose and may the ability to breath through one or both of your nostrils.

In my opinion, to correct this, you should have an open rhinoplasty to straight the bridge (dorsum) of your nose. This may involve placement of spreader grafts ( cartilage grafts to used to straighten the dorsum and re-support the nasal valve). Also the tip of your nose should be re-supported with cartilage grafts so that the tip doesn't droop with time and will also help your breathing. Lastly, of course, correction of your internal deviated septum.

There is example of this in the picture section of by profile.

I hope this helps. Best of Luck.

Dr.S.

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Yes, you do appear to have a septal deviation.  Our noses do change over time as the soft tissue and fat diminishes, and deviations in the cartilage therefore become more apparent.  In addition, the tip of the nose tends to droop with age as well.  I would recommend seeing a surgeon experienced in rhinoplasty for an evaluation and surgery if desired.  Good luck, /nsn.

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