Ask a doctor

Would Osteotomy for Dorsal Hump Also Correct a Crooked Nose? (Frontal View)

Would a nasal infracture to close an open roof also correct a crooked nose

Doctor Answers (18)

Crooked Noses Can be Challenging

+1

A crooked nose is usually more of a cartilage problem and not entirely a bony problem. I doubt if a simple infracture or hump removal would be able to fix it. It would more likely take a rhinoplasty, working on both bone and cartiage to give you a nice result.


Saint Louis Plastic Surgeon
5.0 out of 5 stars 22 reviews

Would Osteotomy for Dorsal Hump Also Correct a Crooked Nose?

+1

Dear xzr,

thank you for your question.  Would be helpful to see a photo. If the crookedness is only in the nasal bones and not in the cartilage, then yes.  If the tip, or the nasal septum is crooked, then additional corrective measures need to be taken during the rhinoplasty.

Best Wishes, 

Pablo Prichard, MD

Pablo Prichard, MD
Phoenix Plastic Surgeon
5.0 out of 5 stars 26 reviews

Osteotomies for removing a dorsal hump can help a crooked nose, but other factors are involved

+1
  • Dear xzryry95zx
    • You might think of it like a mountain top that is not straight up. If you cut the top of the mountain off, then the crooked base is still there. 
    • The base of the mountain cuts are the other osteotomies that are used (for nasal in fracture as your second ? asked)
    • remember that the crooked nose is often a combination of bone, cartilage and septum
    • SO it depends. 
    • Best Wishes

Travis T. Tollefson, MD, MPH
Sacramento Facial Plastic Surgeon
5.0 out of 5 stars 5 reviews

You might also like...

Osteotomy to Correct Crooked Nose

+1

If the apparent deviation is secondary to asymmetry of nasal bone position, osteotomies may correct the deviation. However a nose is usually crooked because the septum is alsodeviated which would require a septoplasty. 

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

Would Osteotomy for Dorsal Hump Also Correct a Crooked Nose

+1

If the cause of the crooked nose is Bony deviation, then an osteotomy following a dorsal hump reduction will help. If the cause is due to Septal Deviation then additional measures are necessary. They may involve Septoplasty, the use of cartilage grafts and a few other techniques. You should consult with a Plastic Surgeon with Rhinoplasty expertise

All the best

Naveen Somia, MBBS, PhD, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 27 reviews

Would Osteotomy for Dorsal Hump Also Correct a Crooked Nose?

+1

            If there is bony deviation, then an osteotomy can improve a crooked nose.  Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.  Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
5.0 out of 5 stars 194 reviews

Would Osteotomy for Dorsal Hump Also Correct a Crooked Nose?

+1

The osteotomy to close an open roof can also be used to straighten the bridge of the nose. There is minimal difference between these two maneuvers. If your nose has a hump and is also crooked, both issues can be addressed with the same cuts in the nasal bones. 

Stephen Weber, MD, FACS
Denver Facial Plastic Surgeon
5.0 out of 5 stars 36 reviews

Correction of a crooked nose

+1

There are many maneuvers that can be performed to correct a crooked nose.  This can involve lateral osteotomy or correction of a deviated septum.   

Jeffrey Zwiren, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 9 reviews

Nasal Fracture and Crooked Nose

+1

A nasal in-fracture after a rhinoplasty my in some cases straighten the nose. It really is not possible to comment further without photographs.

Jay M. Pensler, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 10 reviews

Would Osteotomy for Dorsal Hump Also Correct a Crooked Nose? (Frontal View)

+1

Impossible to tell without examination and consideration of history, with or without imaging studies.  In my opinion/experience, to correct the crooked nose, all elements contributing to visible asymmetry between right and left sides must be symmetrized.  If it is the bony and/or cartilaginous septum, the septum must be mobilized to the midline and stabilized there.  Sometimes, conceivably, infracture can improve crookedness if the infracture is designed to do so.  Most often, the nasal septum is also involved.  If one side is concave, that side may need outfracture.

Steve Laverson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 38 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.