Options for Progressively Crooked Nose?
- Asked by kipman9 in west newbury, mass
- 4 years ago
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?
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 done to straighten the bend and strengthen the underlying structure so that further bending over time can be avoided. My only advice there is to see a facial plastic surgeon who is both experienced in internal and external nasal surgery since correcting a crooked nose is a more difficult nose surgery or rhinoplasty than performing a nose surgery on someone to improve the appearance in a person with a straight nose. I hope this information helps.
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 asymmetries there. The internal portion of the nose may require a septoplasty and/or turbinate reduction to improve airflow dynamics through the nose.
Web reference: http://www.seattlefacial.com
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.
Robert F. Gray, MD, FACS
Recent Rhinoplasty Reviews
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.
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.
Progressively crooked nose
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.
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.
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.
Web reference: http://www.facechange.org
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.
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.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.