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What Can I Do About my Crooked Nose?

When I was 16, I got headbutted horse-playing around and I had to push my nose back into place because it was crooked. The doctor said it was not broken--just swollen; but after swelling went down it started to heal crooked. It seems to be push to one side more than the other. What can I do?

Asked 31 months ago by cte8732 in indianapolis
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+1

See a rhinoplasty specialist.

 You will probably need to have a rhinoplasty. Seek out an experienced rhinoplasty specialist in your area (Stephen Perkins) and have him evaluate your nose.
Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
+1

Type of correction will depend on what is making your nose crooked

Correcting a crooked nose is typically addressed with surgery. This can be done as an open reduction of a nasal fracture if it is due to trauma. If there is no history of trauma, it is considered more of a cosmetic issue and is addressed with rhinoplasty. How to correct a crooked nose really depends on where the deviation is. Sometimes most of it is due to the internal septum and a correction of this can lead to a straighter appearance. Other times the bone on the outside needs to be... more
Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon
+1

Nasal bones need to be reset

It sounds as though you have a classic nasal fracture. Most of the time when you fracture the nose the internal septum is fractured as well and deviated. A resetting of the nasal bones needs to be performed along with the possibility of straightening the internal portion of the nose at the same time if there is a breathing problem. This is not considered changing the shape of the nose as a rhinoplasty but is considered a reduction of a nasal fracture. This is done under a general... more
William Portuese, MD
Seattle Facial Plastic Surgeon
+1

A nasal fracture is easier to fix

A nose can be crooked for one of two reasons: 1. It grew that way, or 2. It was fractured, or encountered some other type of trauma such as previous surgery. The first problem is more difficult to fix because of certain inherent deficiencies in the nasal anatomy. The second one (nasal fracture) is easier to fix because the proper anatomy is present, but it has been shifted. Surgery can usually shift the nose back into a good position. While we as surgeons always strive for perfection... more
Andrew Miller, MD
Edison Facial Plastic Surgeon
+1

Correcting a crooked nose.

Your nose has the classical appearance of a fractured nose. Your left side is pushed inwards while your right side is pushed outwards. This typically requires a series of steps that will bring your left outwards and your right side inwards. It may require additional grafts that need to be harvested for this procedure. While it is reasonable to expect a big improvement, it is not realistic to expect complete correction of the asymmetry
Otto Joseph Placik, MD
Chicago Plastic Surgeon
+1

Crooked Nose

At this time you have only two choices; either accept the appearance or have surgery. A septorhinoplasty will straighten your nose and probably improve your nasal breathing. Select an experienced surgeon because this is one of the most difficult procedures we do in nasal surgery.
Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
+1

Crooked nose

 If you sustained a nasal fracture from a traumatic injury, it can be corrected with a rhinoplasty.  It would have been easier to centralize the nose after the initial injury, but it definitely can be fixed.
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Rhinoplasty

It looks like your nose is curved like a "C" shape.  It appears that your nasal bones are deflected, and also the tip.  LIkely, you will need to have your septum corrected as well.   sek
Scott E. Kasden, MD
Dallas Plastic Surgeon
+1

Crooked Nose; What Can Be Done?

Hi Cte, Your nose can be straightened by a rhinoplasty surgeon.  I agree with Dr. Mayer that Stephen Perkins, M.D. is an excellent surgeon in the Indianapolis area. Be well. Dr. P
Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
+1

Repairing a crooked nose

It appears from your photo that the lower two thirds of your nose, which is made of cartilage, has been damaged. Rhinoplasty has the potential of restoring your nose back to normal. You should seek a specialist that can address the external and internal structure of the nose. Cartilage grafting to the nose may be necessary to attain the best results. If the trauma caused nasal obstruction, the surgery has the potential of improving your breathing as well. Because of the fact that nasal... more
Maurice M. Khosh, MD
New York Facial Plastic Surgeon
+1

Do your homework

Plastic surgeons, facial plastic surgeons, oral maxillofacial surgeons, otolaryngologists, and even some dermatologists do rhinoplasty. The trick is to find 2 to 3 surgeons in your area that make rhinoplasty the focus of their practice (or at least do a large volume of rhinoplasties) and visit them. Do your homework! Experience their demeanor, the way you are treated in the office, and the way things are explained to you. Are they thorough? Do they answer your questions in an understandable... more
Randolph Capone, MD
Baltimore Facial Plastic Surgeon
+1

Crooked nose after trauma

Your entire nose appears crooked. Your left-sided nasal bones appear pushed in and your right-sided nasal bones appear pushed out. In addition, the bottom portion of your septum (visualized between your nostrils) appears curved. You likely need a septorhinoplasty; at the minimum, you likely need your nasal bones broken and straightened and your septum reshaped. Depending on your breathing, you may also require placement of cartilage grafts to hold open the nasal valves. Your best bet is to... more
Sam Jejurikar, MD
Dallas Plastic Surgeon
+1

Crooked nose is a difficult problem

A crooked nose can be caused by the external bones and cartilage as well as the septum. This would need to be evaluated by a surgeon to determine what needs to be fixed. If you have both problems and only one of them is fixed your deformity will likely return. Seek several opinions and go with the surgeon who makes the most sense to you and has the best reputation from nurses at the hospitals near you. Good luck!
Scott Tucker, MD
Winston Salem Plastic Surgeon
+1

A cartilage graft can make your nose look more symmetrical.

Hi! I have a pretty large experience with rhinoplasty in New York, and I can tell you that making sure a nose stays straight after surgery can be difficult. Your nose is pushed to the right. We would consider putting a cartilage graft on the left side, and this can have the effect of making your nose look straight, and the result can be permanent.
George J. Beraka, MD
Manhattan Plastic Surgeon
+1

You would benefit by a 'Nose Job'

Your nose looks deviated in all parts - probably inside, too. A Rhinoplasty and Septoplasty will help this. Contact a surgeon who does a lot of nose surgeries and book surgery if you want to straighten it.
G. Gregory Gallico III, MD
Boston Plastic Surgeon
+1

Thanks for including a photo

It is very helpful that you included a photograph. You have a complex deviation of your external nose, which is likely accompanied by a deviated septum (the divider in the center of you nose). The top of your nose goes to to the right, the middle curves back to the left and the tip is further left. From the way you described it, the trauma has been many months ago. You should seek out a rhinoplasty specialist who is trained in both internal and external nasal surgery. The best chance you... more
Steven J. Pearlman, MD
New York Facial Plastic Surgeon
+1

Lots of reasons a nose can be crooked

The most common reason a nose becomes crooked after an injury is fracture to the nasal bones. The nasal bones are at the upper 1/3 of the nose and when they become broken, they can shift to the left or right. In some cases, the bones can become distorted and create a new hump or a depression on the bridge. The nasal bones can be repositioned, trimmed or augmented depending on the deformity during rhinoplasty. In some cases the lower 2/3 of the nose will also become crooked after trauma. ... more
David W. Kim, MD
Bay Area Facial Plastic Surgeon
+1

You need it straightened.

If is has been at least one year since your injury, you can seek out a rhinoplasty specialist to get it straightened. This will require possibly rebreaking the bones surgically to realign them. You may need cartilage grafting to support the nasal structures as they heal to prevent retwisting of your nose. It is important to get a thorough nasal exam, inside and out, to evaluate the structure and function of your nose. This will allow your surgeon to determine whether or not you will be... more
Manish H. Shah, MD
Denver Plastic Surgeon
+1

Crooked Nose

You need a rhinoplasty (nose job).  It will involve setting the bones into the right place. You might also need a Septoplasty. That is straightening the nasal septum which is the partitioning wall inside the nose that divides your nose into right and left halves.
Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
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