How to Fix Hereditary Crooked Nose?

When a nose is crooked due to trauma, it is much easier to correct. When the nose simply grows crooked, it becomes much more difficult because certain internal tissues are often smaller or lacking. This makes it extremely difficult to make it perfectly straight, but if your expectations are reasonable, you can usually have a nice improvement if you see a surgeon that specializes in rhinoplasty. Good luck.
Dr. Miller

A crooked nose is a common indication for a rhinoplasty. In reviewing your pictures, you have crooked nasal bones and cartilage.  Both bone and cartilage are manipulated during a rhinoplasty to straighten the nose.  Please consult with several facial plastic surgeons before settling on the best one to help you. I hope this helps.

Your photograph shows the very common finding in rhinoplasty patients. We often think of having one face and one knows but that is not the case. We actually have two facial halves and to nasal pads. Often our eyes are at two different levels, our eyebrows at two different orientations. Our jaws at two different heights. It appears more obvious in the nose because it is one single unit in the middle of our face. Nevertheless, the right nostril or right nasal bone can become larger than the left or vice versa.These findings are also seen in traumatized noses. Whatever their source, rhinoplasty can correct these findings. However, the more facial asymmetry there is, the more difficult it may be to create a perfectly symmetric nose.

Many patients seek my advice when looking to straighten a crooked nose. Often times, a crooked nose may result from genes that have been inherited, like you mentioned. A crooked nose is also a feature that people of the same ethnicity might share. In either case, straightening a crooked nose is a fairly common and standard procedure. A good rhinoplasty surgeon is able to straighten a crooked nose in a way that doesn’t look too fake and that leaves the patient satisfied with the facial harmony of their new nose. It is important to choose a surgeon that you trust and whom you know has had extensive experience in the field. Ask to see real-life examples of past patients, as this is a good indication of what your new nose is likely to resemble. 

                  It’s
not uncommon for plastic surgeons to encounter patients with crooked noses. The
vast majority of these patients have suffered nasal trauma. In some cases, this
trauma may have occurred early in life and was never recognized. Efforts to
straighten the nose under these circumstances are associated with high success
rates.

                  In
some cases, a crooked nose may be present at birth. This type of asymmetry is
often related to asymmetry of the entire face. A variety of conditions can
cause this type of problem, but the majority of cases are caused by a condition
called plagiocephaly. In this situation the cheekbones, chin, orbits and nose
are all crooked.

                  The
nose should always be considered in the context of the entire face. Under these
circumstances, a crooked nose can be disguised, but very rarely can the problem
be totally corrected without  major surgical intervention.

                  When
surgical correction is performed, the majority of patients require a
rhinoplasty in combination with septal realignment. This approach is associated
with high satisfaction rates.

                  If
you have this type of congenital asymmetry, consultation with a board certified
plastic surgeon is appropriate. This surgeon should be able to help formulate a
treatment plan that’s appropriate for you. 

No matter how your nose became crooked, even if you were born that way, it can be straightened. In some cases this is realtively straightforward, for example, when the nasal bones have been fractured. For deviation of the entire nose, including the cartilage and the tip, this can be somewhat more complicated and require cartilage grafts and different suturing techniques for the tip. Make sure to have a detailed conversation with your surgeon about what will be done and the look that you want. Best of luck!

A crooked nose can usually be improved by rhinoplasty regardless of the etiology whether congenital (or hereditary) or acquired.  The same principles apply to reconstruction of the defect.

Fixing a crooked nose is one of the real challenges of rhinoplasty surgery. Fortunately, there are a variety of great techniques that can help your surgeon straighten your nose. Which technique is used really depends on what part of the nose is crooked. Oftentimes it is due to the nasal bones being pushed in one direction. This is most often due to trauma. Osteotomies (controlled breaks of the nose) can help to re-align the nasal bones into a more straight fashion. Oftentimes the cartilage of the nose is deviated, whether it be the septum and usually due to the septum or the lower lateral cartilages. There are a variety of suturing techniques and camouflaging techniques to correct these deformities.

Rest assured experienced rhinoplasty surgeons can straighten the crooked nose. The process starts with consulting with an experienced facial plastic or plastic surgeon.

To straighten the crooked nose usually involves dealing with multiple components, including the nasal bones and the septum. I would appraoch this with an open septo-rhinoplasty with straightening of the bones with nasal osteotomies and a septoplasty with possible internal cartilage grafts. Very common problem and if you have not had a previous rhinoplasty or significant trauma it should be correctable. I hope this helps.

Facial asymmetry is normal, and no one has a perfectly symmetric face.
Rhinoplasty may be improve nasal asymmetry, but is one the greatest challenges in facial plastic surgery. Crooked or twisted noses may be from trauma, prior nasal surgery, or congenital. As others have already mentioned, rhinoplasty surgery may result in a better nose, but not perfectly straight. Deviated noses are commonly associated with deviated septums.
Only after a comprehensive evaluation will a rhinoplasty surgeon be able to determine the best option for you. Best of luck.