Options for Progressively Crooked Nose?

The crooked nose can result from a deviated septum and may get progressively worse as one ages. In addition, incidental trauma or sports related trauma or just bumping your nose hard enough can cause further progression of the crooked nose over time. Furthermore, as we age the tissues weaken and an inherently bent septum can result in further deviation of the nose over time much like a bridge which begins to weaken and collapse due to use and stress. The good news is that surgery can be done to straighten the bend and strengthen the underlying structure so that further bending over time can be avoided. My only advice there is to see a facial plastic surgeon who is both experienced in internal and external nasal surgery since correcting a crooked nose is a more difficult nose surgery or rhinoplasty than performing a nose surgery on someone to improve the appearance in a person with a straight nose. I hope this information helps.

                  Based
on your history I suspect that you’ve had nasal trauma at some point in your
life. At the time of the injury, it may have seemed trivial, but was probably
more significant then realized.

                  It’s
not unusual for the nasal cartilage to slowly curve after a nasal injury. With
the passage of time the cartilage slowly starts to bend and results in a curved
nasal septum and nasal dorsum.

                  When
this situation arises the nose should be critically evaluated. Not only should
nasal aesthetics be evaluated but attention should be given to the nasal airway
as well.

                  When
a patient has a crooked nose following nasal trauma the nasal septum and nasal
bones are usually both involved. Correction of this problem usually requires a
rhinoplasty. If nasal airway obstruction is present, a
septoplasty may be necessary as well.

                  It
would be appropriate to consult a board certified plastic surgeon with
rhinoplasty experience. This surgeon should be able to formulate a treatment
plan for your problem. 

Hello,
With time, a nose may appear longer since it can droop. This is known as "nasal ptosis." Also, the nose may become more twisted due to a deviated septum. Hope this helps answer your question.
Dr. Nassif

There are a number of causes for a nose to become crooked with time.
The most common cause is from prior rhinoplasty surgery. Certain surgically techniques tend to weaken the nose and allow for scar tissue to pull the nose in one direction. In viewing your photos, it appears as if you have had prior surgery.
Breaking ones nose also can result in a deviation of the nose. This tends to be immediate and not a progressively worsening problem. Yes, it can become worse with age but most of the deviation is immediate.
There are some individuals whose nose truly begins to appear irregular or crooked with age. This is due to loss of fat and soft tissue lining of the nose unmasking underlying asymmetries and deviations which were camouflaged by the thicker covering we have in youth. Loss of bone in the face also decreases nasal tip support which can contribute to this effect.
Regardless of the cause of your crooked nose, the problem can be corrected by rhinoplasty with Septoplasty. I recommend you find someone who has a lot of experience in revision rhinoplasty.
Good luck!

The photo you posted shows a slight concavity on the left side of your nose. If you're otherwise happy with your nose, and just want it straighter, consider consulting a specialist experienced using Injectable Fillers in the nose. This can be quite gratifying, and there is no downtime.
I've attached a link to my Non-Surgical Rhinoplasty photos for your perusal.
I hope this was helpful for you.
Best regards.

 When we are young we have a great deal of fat in our face and nose. This often hides an underlying deviation which only shows up as we age. See an experienced rhinoplasty surgeon and you should have airway improvement as well as a straighter nose.