I had a deviated septum corrected when I was 18. I am now 39. Shown are current and my nose as a child. The surgeon cut away the septum rather than straightening it. Now I have a problem with an odd asymmetrical nostrils and saddle nose. I find people rub at their nose when they notice my irregularity. From a further view my nasal tip appears skewed. Can any surgeon help me correct this? What would your approach be. I want to avoid a huge columella scar as well, but will need open surgery.
Asymmetrical Nostrils, Nasal Tip, and Saddle Nose? (photo)
Doctor Answers 2
Asymmetric Nostrils, Nasal Tip, and Saddle Nose?
Your nose can be improved with a closed rhinoplasty approach.
Kenneth Hughes, MD
Los Angeles, California
Asymmetry of Nose
Looking at your photos, it appears that your pre-septoplasty appearance is not much different to what I am seeing as an adult. A septoplasty should not cause asymmetry of the nostrils unless the caudal septum is so disjoined it protrudes into the medial nostril. The tip in itself can be deviated if the septum at this location is severly deviated. This can be corrected with a Rhinoseptoplasty. I would recommend an open approach. I would not be concerned about the columellar scar. In over 25 years of practice there is rarely a complaint.
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