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How to Fix a Crooked Nasal Cartilaginous Bridge?

it moves towards the right side of my face more, so if you look at my face one way, it's longer and the other way, shorter.

Doctor Answers (13)

Crooked bridge – options

+1

Straightening a crooked dorsum can be one of the most challenging problems in nasal surgery.  One of the reasons the bridge can be crooked is due to a deviation in the cartilaginous portion of the dorsum, which is the equivalent position of the upper lateral cartilages and dorsal septum.  To address a crooked nasal cartilaginous bridge, changes must be made to these structures.  If the patient has long nasal bones and a short middle vault, osteotomies to the nasal bones may correct a deviated cartilaginous bridge. However, spreader grafts typically are required to address a depressed upper lateral cartilage. Other techniques which may be required include placement of a onlay graft. As you can tell, several techniques can be used to correct the middle dorsal vault, however the surgeon should choose the appropriate technique based on each individuals anatomy.


Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

Correcting a crooked nasal cartilaginous bridge

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Anytime the nose is crooked there is a long side and a short side associated with the nasal bones and cartilages. It is important to have your surgeon look at the inside of the nose, which is most likely crooked as well. This needs to be addressed at the same time and is considered a septoplasty. Straightening the nasal pyramid will require both medial and lateral osteotomies to reset the nasal bones. With respect to the upper lateral cartilages in the mid-third of the nose, the twisted and concave side will probably require a spreader graft composed of the patient’s own cartilage from the septum to bolster that upper lateral cartilage on that depressed side. This is all done through closed rhinoplasty techniques and is an outpatient procedure and usually performed under general anesthesia.  

William Portuese, MD
Seattle Facial Plastic Surgeon
5.0 out of 5 stars 55 reviews

Fixing a crooked nose

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Fixing a crooked nose can be very challenging and can occasionally be accomplished with strategic incisions and sutures whereas more complex problems may require cartilage grafts to establish, hold or secure the desired structure.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 41 reviews

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Crooked Nose Correction

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What you are describing is usually due to a deviated nasal septum and possibly an accompanying nasal bone deviation. Septal deviation of the portion of the septum that makes up the lower bridge of the nose may require more than a simple septoplasty. Sometimes the septum needs to be separated from the the other cartilages making up the lower bridge of the nose and occasionally grafts of cartilage are necessary to stabilize the septum and to reduce its tendency to 'bow'. It is important to have a thorough exam of course and ask your surgeon to tell you in clear terms just what is causing the the look you are seeing. Although a certain amount of asymmetry is the norm, significant deviation off-midline can usually be addressed and improved. Best of Luck

Jon F. Harrell, DO
Miami Plastic Surgeon
5.0 out of 5 stars 30 reviews

Fixing Crooked Nose

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Many different techniques are used to fix  a crooked nose. A good surgeon will explain how to improve your nose and establish reasonable expectations. 

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

How to Fix a Crooked Nasal Cartilaginous Bridge

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Hello,

I would really need to see photos in order to provide you with any advice, as every individual has different circumstances. Please feel free to send any photos to my office and I would be happy to evaluate them for you. My contact information is listed in my profile. Thank you for the question, and good luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 29 reviews

Fixing the crooked nose.

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Crooked noses are fixed many ways. Select an experienced rhinoplasty surgeon whose results look natural.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Fixing Crooked Nose at the Bridge

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Hi veronica sawyer in Wallingford, CT,

Rhinoplasty is not one operation, but many potential operations. Every patient is unique. The primary goal of cosmetic rhinoplasty surgery is to reduce attention from the nose, and bring attention to other parts of the face such as the eyes and lips.

Facial or nasal symmetry is common, and essentially normal. No one has a perfectly symmetric face or nose. Rhinoplasty may improve asymmetry by reshaping cartilage, bone, or skin. The bridge of the nose, or the upper 1/3 of the nose, is made of bone so osteotomies or rasping may be required to help straighten the nose.

Speak with a plastic surgeon to perform a comprehensive evaluation and to help determine appropriate options for you.

Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
5.0 out of 5 stars 46 reviews

Crooked Nasal Correction

+1

Typically, crooked cartilage in the nose relates to a deviated septum. This may be a traumatic or developmental occurrance, likely the latter.

Extended septoplasty techniques, with or without limited grafting and/or nasal bone correction is typically required to correct this problem.

Make sure to see a Septorhinoplasty specialist who has extensive experience with both Rhinoplasty and Septoplasty procedures for this problem.

All the best

Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
5.0 out of 5 stars 14 reviews

Fix a Crooked Nasal Cartilaginous Bridge

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By posting some nasal photos so we can get an idea of the deviation. But you need to see in person a boarded surgeon in your area for a septorhinoplasty. 

Darryl J. Blinski, MD
Miami Plastic Surgeon
4.5 out of 5 stars 61 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.