Nasal asymmetry

Nasal asymmetry is normal . No one nose is perfectly straight. If you have significant crookedness, the nose can be straightened to make it better but not perfect.

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.

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It is most likely a coincidence that both a mother and a son have the same deviation of the nose. The most common causes for a crooked nose is some sort of trauma during the developing phases of the nose. This may have occurred during birth or by falling and hitting your nose during early nasal growth as a child. A condition called hemi-facial atrophy can also be associated with a crooked nose and may have a hereditary component, but from the photo I can tell you don't have that rare condition.

As for treatment, Straightening a nose can be challenging, but a qualified rhinoplasty surgeon can usually make a nose much straighter.

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It is possible to straighten a crooked nose using rhinoplasty techniques. A congenitally crooked nose often needs to have all three components straightened

1. The nasal bony bridge
2. The nasal cartilagenous bridge (mid part of nose)
3. The tip cartilage.

Your nose appears to have all three components that require straightening.  In addition, there is often a deviated septum which needs to be corrected.

Select surgeon who is skilled in both correcting the outer part of the nose and knows how to correct a deviated septum.

Good luck!

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