Hello and thanks for your question. It appears that your septum and nose is somewhat deviated. To correct that if it bothers you and gives you problem with breathing a septo-rhinoplasty is indicated. If the symptoms are not troublesome for you, it can be observed for now. Rhinoplasty can also correct other issues with the aesthetics of the nose.
An exam will be necessary to determine potential points of obstruction.
Kenneth Hughes, MD
Los Angeles, CA
You can just do the revision septaloplasty or a combination of rhino septolaplasty... Your choice...
Nasal obstruction can be caused from a Variety of issues such as a deviated septum, turbinate hypertrophy, valve collapse, vestibular stenosis, allergies, and chronic sinusitis. Each one of these is treated differently with either medications or surgery. Functional nasal surgery to improve air flow through the nose is considered a medical necessity once it's been documented by your physician. A rhinoplasty is performed for cosmetic purposes and has nothing to do with breathing. A rhinoplasty can straighten the crooked nose when necessary by applying osteotomies to the nasal bones and sometimes a cartilaginous spreader graft placement. Patient's must pay for the cosmetic portion of their nasal surgery. Both a septoplasty and a rhinoplasty can be performed at the same time under the same anesthetic with one recovery.
A septoplqsty is designed to straighten the inside of your nose. A revision of the septoplasty is possible. It may be that you have internal valve collapse as well. A rhinoplasty would straighten the outward appearance of your nose. Typically insurance will cover the functional aspects but not the rhinoplasty portion.
If your nose, including your septum, is crooked and the internal valve is narrow as we see in the pictures you will need a revision and spreader cartilage grafts to improve your breathing.