How to Fix Hereditary Crooked Nose?

Is there any way to fix a hereditary crooked nose? I know it's hereditary because my mom's nose is exactly the same, but she can put makeup and play with the shadows. It's like the bone on the bottom because it seems like the bone on one side is bigger and one side smaller, so like my whole nose is crooked.

Doctor Answers (23)

Inherited Crooked Nose

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Any crooked nose, regardless of cause, can be improved with rhinoplasty by an experienced surgeon. Carefully select your surgeon; this is one of the most challenging operations we do.


Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 15 reviews

Correcting the crooked nose

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To fully correct a crooked nose one must also evaluate the relative symmetry of the patient's face, the extent of the internal (septal) deviation in addition to the status of the external deformity of the nose. Many times the final "straight" result of the nose is a compromise to enhance the other facial asymmetries. In all cases, the internal septal deviation should be addressed to allow full correction of the aesthetic outside and full internal nasal airway function. A rhinologist/ facial plastic surgeon is best trained to address all these parameters.

Lee Kleiman, MD
Annapolis Facial Plastic Surgeon

Straightening a Crooked Nose

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Many patients seek my advice when looking to straighten a crooked nose. Often times, a crooked nose may result from genes that have been inherited, like you mentioned. A crooked nose is also a feature that people of the same ethnicity might share. In either case, straightening a crooked nose is a fairly common and standard procedure. A good rhinoplasty surgeon is able to straighten a crooked nose in a way that doesn’t look too fake and that leaves the patient satisfied with the facial harmony of their new nose. It is important to choose a surgeon that you trust and whom you know has had extensive experience in the field. Ask to see real-life examples of past patients, as this is a good indication of what your new nose is likely to resemble. 

Sam Rizk, MD
New York Facial Plastic Surgeon
4.0 out of 5 stars 18 reviews

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Rhinoplasty With Septal Realignment

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                  It’s not uncommon for plastic surgeons to encounter patients with crooked noses. The vast majority of these patients have suffered nasal trauma. In some cases, this trauma may have occurred early in life and was never recognized. Efforts to straighten the nose under these circumstances are associated with high success rates.

                  In some cases, a crooked nose may be present at birth. This type of asymmetry is often related to asymmetry of the entire face. A variety of conditions can cause this type of problem, but the majority of cases are caused by a condition called plagiocephaly. In this situation the cheekbones, chin, orbits and nose are all crooked.

                  The nose should always be considered in the context of the entire face. Under these circumstances, a crooked nose can be disguised, but very rarely can the problem be totally corrected without  major surgical intervention.

                  When surgical correction is performed, the majority of patients require a rhinoplasty in combination with septal realignment. This approach is associated with high satisfaction rates.

                  If you have this type of congenital asymmetry, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to help formulate a treatment plan that’s appropriate for you. 

Richard J. Bruneteau, MD
Omaha Plastic Surgeon
5.0 out of 5 stars 86 reviews

Fixing a Crooked or Deviated Nose

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No matter how your nose became crooked, even if you were born that way, it can be straightened. In some cases this is realtively straightforward, for example, when the nasal bones have been fractured. For deviation of the entire nose, including the cartilage and the tip, this can be somewhat more complicated and require cartilage grafts and different suturing techniques for the tip. Make sure to have a detailed conversation with your surgeon about what will be done and the look that you want. Best of luck!

Evan Ransom, MD
Bay Area Facial Plastic Surgeon
5.0 out of 5 stars 43 reviews

How to Fix Hereditary Crooked Nose

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A crooked nose can usually be improved by rhinoplasty regardless of the etiology whether congenital (or hereditary) or acquired.  The same principles apply to reconstruction of the defect.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
5.0 out of 5 stars 39 reviews

Absolutely, straightening your nose is attainable.

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Fixing a crooked nose is one of the real challenges of rhinoplasty surgery. Fortunately, there are a variety of great techniques that can help your surgeon straighten your nose. Which technique is used really depends on what part of the nose is crooked. Oftentimes it is due to the nasal bones being pushed in one direction. This is most often due to trauma. Osteotomies (controlled breaks of the nose) can help to re-align the nasal bones into a more straight fashion. Oftentimes the cartilage of the nose is deviated, whether it be the septum and usually due to the septum or the lower lateral cartilages. There are a variety of suturing techniques and camouflaging techniques to correct these deformities.
Rest assured experienced rhinoplasty surgeons can straighten the crooked nose. The process starts with consulting with an experienced facial plastic or plastic surgeon.

Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon
5.0 out of 5 stars 13 reviews

Rhinoplasty can correct crooked nose

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Hereditary crooked nose can be repaired by both medial and lateral osteotomies to realign the nasal pyramid. Spreader grafts are used for the mid third of the nose to augment the concave side. This is all done through a closed rhinoplasty under general anesthesia. It is important to make sure that the midline of the nose and the midline of the teeth are parallel; otherwise, significant facial asymmetries may be present causing the nose to be asymmetrical. For many examples of  crooked nose repair in our practice, please see the link below to our rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 58 reviews

Improvement for hereditary crooked nose is definitely possible

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When a nose is crooked due to trauma, it is much easier to correct. When the nose simply grows crooked, it becomes much more difficult because certain internal tissues are often smaller or lacking. This makes it extremely difficult to make it perfectly straight, but if your expectations are reasonable, you can usually have a nice improvement if you see a surgeon that specializes in rhinoplasty. Good luck.

Dr. Miller

Andrew Miller, MD
Edison Facial Plastic Surgeon
5.0 out of 5 stars 60 reviews

Straightening the crooked nose

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To straighten the crooked nose usually involves dealing with multiple components, including the nasal bones and the septum. I would appraoch this with an open septo-rhinoplasty with straightening of the bones with nasal osteotomies and a septoplasty with possible internal cartilage grafts. Very common problem and if you have not had a previous rhinoplasty or significant trauma it should be correctable. I hope this helps.

Andrew P. Trussler, MD
Austin Plastic Surgeon
5.0 out of 5 stars 14 reviews

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.