Rhinoplasty: Q&A
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Options for Progressively Crooked Nose?
My nose used to be perfectly staight and over the years it is getting progressively more crooked. My ENT says that I have a deviated septum and that I probably had it, but if you compare pictures from 10 years ago to now, there is a big difference. Any ideas?
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14 Doctor Answers |
Asked by
kipman9
in west newbury, mass
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Correcting the crooked nose
The crooked nose can result from a deviated septum and may get progressively worse as one ages. In addition, incidental trauma or sports related trauma or just bumping your nose hard enough can cause further progression of the crooked nose over time. Furthermore, as we age the tissues weaken and an inherently bent septum can result in further deviation of the nose over time much like a bridge which begins to weaken and collapse due to use and stress. The good news is that surgery can be...
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Options for correcting a progressively crooked nose
Certainly, the cartilage and the bone may have been injured at some point and is continuing to grow crooked. A deviated septum can be fixed by itself or at the same time as a rhinoplasty if the patient so desires. Straightening the outside portion of the nose will require osteotomies to narrow and straighten the nasal bones, potentially spreader grafts in the upper third of the nose with upper lateral cartilages inserted onto the septum, and potentially some tip surgery to correct any...
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As the septum goes so goes the nose
Another question to ask is " Do you have any difficulty breathing through one side of your nose?" As the other replies have indicated a deviated nasal septum can affect the outer appearance of the nose over time.
I often will combine septoplasty (if needed) with cosmetic rhinoplasty to help a person achieve a look that they desire. So they will be able to breathe well through their nose and be pleased with the external appearance.
Good Luck!
Robert F. Gray, MD, FACS
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Progressively crooked nose
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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Progressively Crooked Nose
Noses do change with time, just like other parts of our body. Go to a retirement home and look at the residents; they did not have those noses all of their lives. However, the deviation may have been present all of your life, but is now visible because of changes in the skin and subcutaneous tissue. Correct the deviated septum and enjoy your improved breathing.
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Progressively crooked nose
Hello,
With time, a nose may appear longer since it can droop. This is known as "nasal ptosis." Also, the nose may become more twisted due to a deviated septum. Hope this helps answer your question.
Dr. Nassif
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Nasal deviation
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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Crooked nose
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 i
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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...
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The crooked appearance of your nose could be improved with a Non-Surgical Rhinoplasty.
The photo you posted shows a slight concavity on the left side of your nose. If you're otherwise happy with your nose, and just want it straighter, consider consulting a specialist experienced using Injectable Fillers in the nose. This can be quite gratifying, and there is no downtime.
I've attached a link to my Non-Surgical Rhinoplasty photos for your perusal.
I hope this was helpful for you.
Best regards.
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I have seen this many times over 30 years of doing noses.
When we are young we have a great deal of fat in our face and nose. This often hides an underlying deviation which only shows up as we age. See an experienced rhinoplasty surgeon and you should have airway improvement as well as a straighter nose.
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Surgery for crooked noe and septal deviation
It is possible for a minor deviation to show more over the years and make the nose appear more crooked. Straightening the septum alone will not and should not change the external shape of the nose, as it is usually the procedure to help with breathing problems. If you want to correct the crooked shape of your nose, even though admittedly it is pretty minor, you are looking at having a rhinoplasty. Talk to an experienced rhinoplasty surgeon and review the before and after to make sure you...
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Crooked Nose
Hi Kipman,
Was your nose "perfectly straight" after having had rhinoplasty many years ago? Sometimes a "straight" result will appear crooked as a few years go by as scar contracture occurs, especially if enough structural support was not left in the nose.
If you have never had nasal surgery, then your crookedness is related to your nasal septum. Best to consult with an experienced rhinoplasty surgeon for an examination and diagnosis.
Good luck and be well.
Dr. P
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Correcting progressively crooked nose
It is obvious that you DO have a deviated nasal septum. (If you draw a line from a point midway between your brows to midway between your upper incisor teeth, you can easily see the nose taking a turn to your right before the tip turns slightly left of center). Although some septal deviation are obvious after trauma (fist, steering wheel, lacrosse stick etc), other minor trauma can cause a deviation that worsens with time.
If your septal deviation is associated with breathing difficulties...
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