90% blockage in left nostril due to deviated septum and crooked nose...please advise. (photo)

With a crooked nose, the best result can be obtained by performing both the septoplasty and the rhinoplasty together because the deviated septum is probably contributing significantly to the crooked appearance. During rhinoplasty, the entire nose can be opened up, allowing great exposure to correct both the septum and any cosmetic issues that are causing the nasal deviation. Then, the tip can be thinned and placed at a nice, masculine position. Be sure to see surgeons specializing in correcting both the internal and external aspect of the nose.

First, go Sox! Based on your description and the photo you've attached it sounds like a septorhinoplasty and turbinate reduction would be required to improve all of your airway issues. If you had cosmetic changes as well they could be made during the same procedure. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Deviated noses are very challenging and require special maneuvers to correct the deviated internal and the external structures of the nose. You may consult someone who has enough expertise dealing with the deviated structures as well as the nasal valves which often may not function properly on a patient with the deviate nose.