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Crooked Nose After Rhinoplasty

I had a Septo-Rhinoplasty 17 days ago and 5 days ago my surgeon took off the band-aids and my nose is slightly crooked to the left side.Before surgery my nose was completely straight on the outside.The septum was deviated on the right side and this was corrected by an ENT, in the same surgery, before the plastic surgeon.My surgeon said that we might have to have a revision in 3 months. I'm still a little swollen (mostly right side). Is 3 months enough or should I be worried about his opinion?

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9 Doctor Answers | Asked by Judia in Lisbon, Portugal

Doctor Answers (9)
Community Comments (4)

Crooked Nose After Rhinoplasty

I agree that it does look somewhat deviated, but I also agree with others who have noted that 17 days is still very early to make any real assessment. I find it interesting that you had a two-surgeon team operate on your nose. My personal bias is that surgeons who cannot operate on the septum should not be doing rhinoplasty. The septum is the foundation of support for the nose. It is a fundamental part of most rhinoplasties I perform. Have you followed up... more

Post Rhinoplasty Deformity

It appears that the lower 2/3 of your nose are deviated to your right and in nearly all cases this is related to a deformity of the underlying septum. While the likelihood of improving the the external deformity by placing finger or digital pressure to your left is very low I think it may be reasonable if you decide to wait before proceeding with revision surgery. Although most surgeons including myself prefer to wait 6-9 months before revising the nose, in your... more

Crooked Nose After Rhinoplasty

Your nose seems to have a deviation. Traditionally, plastic surgeons have recommended waiting 6 to 12 months for revision. However, it cases like yours with a clear deformity, I would recommending returning to the operating room right away.

Crooked Nose After Rhinoplasty

Sorry for your post operative issues. Yes you need revision but after at least 6 months of healing. From MIAMI Dr. Darryl J. Blinski

Crooked Nose After Rhinoplasty

I agree that your nose appears to deviate to one side. From the pictures, it is difficult to tell if this is because of the underlying deviated septum, because you do not have a pre-op "birds eye view" photo, but you do have the post op one. The deviation may be from the septum, not the rhinoplasty. Although most surgeons would recommend waiting 6 months to a year before re-operation on a nose, I agree that as long as most of the swelling is down in 3 months,... more

Nasal distortion

Yes, it does look like it is off to one side more so than preop, but this also may be a result of the septum being curved in that position as the dorsum was taken down. Talk to you surgeon.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Two-team rhinoplasty is a BAD idea.

I suspect the nose will remain crooked until it is revised. I can imagine the following scenario: pre-operatively the interlocked tensions on the deviated septum and upper lateral cartilages were keeping it from deviating the cartilaginous bridge of the nose, but once the plastic surgeon detached the upper lateral cartilages from the dorsal septum, those tensions were released (despite correction of the lower parts of the septum). At that point, the typical maneuver would be to address... more

Crooked Nose 3 Weeks after Rhinoplasty

Your nose does appear to be crooked, but normal swelling this soon after surgery make it difficult to evaluate. If a revision is necessary, I would wait at least another 6-9 months.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Crooked Nose after Rhinoplasty Surgery

Hi Judia in Lisbon, Portugal, The nose is typically still very swollen after rhinoplasty. Nasal swelling may also contribute to asymmetric appearance or "firm" skin texture. It's possibly still too early to determine final results. Traditionally, plastic surgeons recommend waiting 6 to 12 months before considering revision surgery. However, speak with your surgeons now, as parts of the nose may shift in the early postop period. Only after a comprehensive evaluation... more

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Comments (4)

sinfullysexyxo 13 Feb 2013

i have the exact same thing as you!! i too am at 3 weeks post op. It really sucks having to wait months and months until you can be sure weather or not youve made a mistake with even getting the surgery and need revision. its torture.

Judia 14 Feb 2013

Well it's been 2 years for me now and it never became straight I'm sorry to say... I haven't gone back yet because I suffered a bit with post-op at the time and I'm still gathering up the courage. Best wishes!

LovelyMissLidia 4 Jan 2013

Hi I was wondering how your nose turned out after all? I just had mine done and it looks a bit off to the side wondering if it was corrected or did u have to have revision:(

Judia 14 Feb 2013

Hi it's been 2 years since my surgery and my nose is still slightly crooked, as it was on these pictures. I haven't done any revision surgery because I don't want to go through it all again... but the worst is that I don't breathe properly because of this so eventually I'll have to do it. I hope it's not your case. Best wishes!

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