Crooked Nose After Asian Rhinoplasty

Secondary rhinoplasty is much more challenging that the initial procedure because of the scar tissue which can build in the nose. You mention that this is your second attempt at raising the bridge with an implant as the first implant eventually became exposed and had to be removed. Nasal implants are a good solution in raising the nasal bridge but not a perfect solution. They require good coverage by the nasal skin. If the implant places too much pressure on the tissue or nasal skin it can... more

Asymmetry with Asian implant rhinoplasty is one of the most common complications with this type of surgery. I believe that it has to do with the approach and the fixation that is used to keep the implant in the middle and not asymmetric. Because it was your second time, there was likely a lot of scarring in your nose from the previous procedure. This can leave scar tissue that can serve as an impediment for a straight result. Another reason for the asymmetry can be due to inherent... more

There are several methods of achieving correction of the nasal dorsum. It sounds as if you underwent an intial implant which are typically fabricated from silicone elastomer or porous polyethylene. However, it is not clear what the second procedure used: Alloplastic materials Silicone implant Porous polyethylene Autogenous materials Septal cartilage Conchal Cartilage Costal cartilage Iliac crest bone graft Calvarial graft Depending on what is used there may be several possibilities... more

MZ, Looks like you have been given a fair bit of good advice already, but I would simply add that you and your surgeon should be able to tell if there is problem or not, even at this early stage. If the twist to the nose is subtle, it very well can be simply a matter of swelling because one side can settle a little faster than the other or look better on any given day early on. On the other hand, if you are noticing that your nose is significantly more crooked than prior to the surgery, you... more

It is way too soon to judge your results, especially in view of the fact that you had a previous implant that was removed. Scar tissue and swelling can make early evaluation of your nose next to impossible. Be Patient!

Hi Mz, Your surgeon is best suited to answer your question as he/she knows what was done during your surgery. You should address your concerns with your surgeon. If you are told that it is swelling, then there is nothing to be done at this point but to be patient and wait until the swelling dissipates. Give it another 10 days and let us know if it appears straighter. A rhinoplasty surgeon should be able to distinguish between swelling and other causes of a crooked nose. I hope that... more

This is a tough problem. If a dorsal or L-strut implant was used it should have been centralized and should not be crooked now unless there is good deal of swelling. If you can palpate the implant off to the side then it is possible that it was dislodged and needs to be more accurately placed. I would go back to your surgeon, seek his opinion.