Nose still crooked 5 months after surgery? (photos)

Hello,Although it is true your nose is not done healing, I'm certain that it will still deviate to one side once it does. Keep in mind that like everyone else, your face has asymmetries too, and these need to be identified for you to see. In certain individuals, it is difficult to determine what, if anything, is 'midline'. Having said that, I think your nose can be made straighter, and other aspects can be improved. If your surgeon isn't an ABPS certified/ASAPS member surgeon (or AAFPRS equivalent) who specializes in revision rhinoplasty, then you should get a second opinion from a few who are. Best of luck!

Seems your crookedness persists or has even been aggravated.You need a septorhinoplasty to realign and medialize the nasal pyramid, its bones and the nasal septum.
See the link below to find one case of my own practice very similar
to yours which I had the opportunity to operate successfully on, sharing
a lot of common features with the technical problem you have posted.
If you wish better grounded opinion well lit, focused and standard
images have to be assessed: frontal, both lateral and both oblique
views, also underneath the nostrils.
Feel free to request any additional information from me.

I am very sorry to see that you did not get the results you were hoping for. With any rhinoplasty, there will be swelling - it can take up to a year for the swelling to completely go away. With that being said, the nose may even out on its own, sometimes the skin can pull the nose back into line. If the nose does not straighten out on its own, you can also do some minor in-office procedures to help the crookedness. Consult with your original surgeon and ask what can be done to fix the deviation. I have attached a link below to a previous patient of mine who had a similar case to yours. Best of luck, Dr. Wayne 

You need to have patience with your body as it begins to heal. The skin, bone and cartilage are all traumatized during surgery. Inflammation (swelling) is the normal response and will help your nose to heal and look beautiful in the end. If, one year from now, you are unhappy with your nose, then that is the time to think about a revision procedure. Right now, concentrate on other things you like to do and let your nose and under eyes take the time to heal. I hope this helps.

You are still early in your recovery period and the nose is expected to be quite swollen at this point. The majority of the swelling will resolve in 3-6 months, and will continue to resolve as your nose heals for up to 1-2 years. You have not reached your final shape as the nose will continue to heal and reduce in size for up to a year. Once it does reach its final shape you may be more pleased with the appearance of your nose.

You have to give yourself some more healing time.  Your nose and surrounding areas are going to be swollen for a while and you should be consulting the surgeon that performed the procedure but give yourself some time before going back in so some of it can subside. It can take up to a year for final results.
Sincerely,
Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon

A crooked nose after rhinoplasty can be the result of either inadequate straightening or crooked healing. Postoperatively, patients can sometimes unknowingly overmanipulate the nose or sleep on their side which can potentially shift the delicate cartilage framework. I always tell my patients to sleep on their backs and raise the head of the bed to encourage back sleeping. Or, they can sometimes put pillows on either side of them to discourage rolling in their sleep. Also, no nose blowing or contact sports for 6 weeks. It's likely that your crookedness set in during this early period. Alternatively, it may be that the cartilage framework was either under- or overcorrected, thereby, weakening it. The memory of the skin envelope and the splints may give you the appearance of a straight nose early on but as scarring and swelling set in, the appearance may change. I recommend waiting a solid 9-12 months before embarking on a revision rhinoplasty.

Correction of crooked nose is very difficult but doable. Recommend waiting for completion of the healing period i.e. 9-12 months before considering revision surgery. Best

Thank you for your question. It is most likely still very swollen being only 5 months post op. It can take 12 months for all the swelling to subside. I would give yourself some more time to heal and if your concerns continue follow up with your surgeon.