Rhinoplasty: Q&A
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What Would You Suggest to Fix my Crooked Nose? (photo)
Hi, It's getting down to crunch time as I want to get my nose fixed winter break. Here's some background and what outcomes I would like. My nose has been broken twice, both about three years ago, and it is now hard to breath. Overall, I would like a straight nose, narrower, tip projection reduced slightly and nostril reduction. What approach would work best, i.e. opened or closed rhinoplasty? Would you suggest weir excisions, or are there any other kind that could reduce nostril size better?
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10 Doctor Answers |
Asked by
Carmen000
in Saint Paul, MN
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Broken nose
Your posted photos do not allow for a complete analyis of the situation but do show a C-shaped bridge deviation concave to the left. The usual treatment is to remove a window of cartilage from the center of the cartilaginous septum to allow it to straighten, filing down or rasping any protruding spicules of bone, osteotomies to realign the bones and cartilage grafts to cover any residual indents or concave areas. There are pros and cons to open vs. closed approaches and the information in...
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Los Angeles Plastic Surgeon
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Rhinoplasty for Crooked Nose
In my hands I definitely commend an open rhinoplasty which I prefer in noses with severe deviations, particularly after trauma, and noses that need a lot of tip work. It is difficult to determine with the picture you submitted, but I think weirs would be beneficial.
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What Would You Suggest to Fix my Crooked Nose? (photo)
Thanks for the photos. You have a very complex nose deformity. I might opt for open rhinoplasty. But ONLY in person examination will allow any expert to be certain of the operation to propose.
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Complex nasal problems and rhinoplasty
You have a challenging nose problem.. a septo rhinoplasty with open technique is probbly the best way to get your best result. you will likely have some imperfections. but the nose should be straighter, tip smaller breathing better
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What Would You Suggest to Fix my Crooked Nose?
I suggest you look for an experience surgeon who has performed a number of rhinoplasties on crooked noses and have pictures to show you. There are a number of procedures that should be used in order to straighten your nose and keep it that way long term. Weir reduction is associated with scar and reduces flaring but not wide nasal base. The Alar Repositioning Technique does not cause scars and is the technique of choice both for flarring and wide nasal base.
Huntington Beach Facial Plastic Surgeon
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Rhinoplasty
Rhinoplasty sounds like a reasonable procedure for you based upon yoru concerns. The nose could be straighter, the tip more refined as well. A full exam is esential to plan your surgery and this has to be done in person with your surgeon. Good luck.
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Open or closed rhinoplasty for the crooked nose.
About 35 years ago there were 4 of us who did open rhinoplasty and lectured about it. Today there are many surgeons who use this to excess. I would do your nose open since you will need grafting for the depressions as well as straightening and refining the tip. I feel suturing the grafts in place is one of many advantages of the open approach for your nose. See an experienced rhinoplasty surgeon who does natural noses for the best result.
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What Would You Suggest to Fix my Crooked Nose?
I have performed Rhinoplasty for over 20 years and from the photos, you have a C-shaped nasal deformity from the previous nasal trauama. A profile view would be helpful for further evaluation as it would show the degree of nasal tip rotation. This is one of the determing factors, for me, in choosing a closed or open Rhinoplasty as the mere fact of opening the nasal tip area causes ~ 5 to 7 degrees of upward tip rotation. Since the aesthetically correct tip rotation is...
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Rhinoplasty for a crooked fractured nose
Your nose has taken a beating like one involved with roller derby or kick boxing. The repair will involve the septum and support of the depressed area on the bridge. Of course you may have reduction and shaping of the tip as well, and the Weir pattern will depend on the on just how the nostril flares. Open or closed? Both work with a skilled surgeon, though if closed will work, all the better.
Best of luck, peterejohnsonmd.com
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What Would You Suggest to Fix my Crooked Nose?
There are several factors contributing to your crooked nose. The right nasal bone is protruding, the left upper lateral cartiage, or left sidewall of your nose, is collapsed. Through an open rhinoplasty approach osteotomies would align the bones, and a left spreader graft would re-support the left nasal wall. Chances are your septum will be deviated as well from your previous nasal fractures. A septoplasty would address this problem.
As for the tip, you have a bulbous, or round tip,...
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