What can I do to my crooked nose and jaw? (Photo)

Question

I have a crooked nose and jaw. I noticed it during my late teen years and now I am 23, I notice it even more. I would like to know if there is something I can do about it.

Ali Adibfar, MD, DDS · Answer

Hello An in person consultation , soft tissue, dental as well as radiographic evaluation would be necessary for an in depth analysis and range of treatment recommendations.However, superficially, it seems like you have a mild case of right "hemifacial microsomia" where the right side of your face did not grow as fast as the opposite side and hence led to :1) smaller right orbit2) nose deviated to the right3) lower jaw and chin deviated to the right4) right side of the face being overall smaller than the opposite sideThe treatments can range from rhinoplasty, jaw surgeries +/- orthodontics, genioplasty , fat grafting, semi permanent fillers or a combination of the above in order to aim for improved symmetry .Thank you

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from osteotomies and spreader grafts to help make your nose straighter.  In order to give more accurate in regards to your jaw asymmetry, an in-person evaluation would be helpful.  Make sure you specifically look at before and after
pictures of real patients who have had this surgery performed by your surgeon
and not just a computer animation system. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William Portuese, MD · Answer

The crooked nose is treated with the rhinoplasty procedure to straighten it.  Osteotomies placed in the nasal bones accomplish  strightening them, and a cartilage graft is required to straighten the midportion of the nose. For many examples, please see the link and the video below

Ziyad Hammoudeh, MD · Answer

Thank you for your question and photo.  A crooked nose can be the way you were born and developed, or it can be the result of trauma.  It appears that your nose is reverse C-shaped.  It deviates to the left in the middle bridge and then back to right at the tip.  The surgical plan would depend on the findings of a thorough history and physical examination of the nose.  In most cases such as yours, the surgical plan would entail an open rhinoplasty with bone cuts (osteotomies) to straighten the nasal bones.  It would also involve placement of asymmetric spreader grafts of cartilage harvested from your septum to better establish the dorsal aesthetic lines of your bridge and conceal the concavity on the right side of your nose.  Additional maneuvers would also be performed that would be discussed in an in-person consultation to refine other aspects of the appearance of the nose to achieve the most pleasing aesthetic result.  The jaw should be treated by a plastic surgeon who specializes in craniofacial surgery and would require imaging studies to guide the surgical plan.
Ziyad Hammoudeh, MD

What can I do to my crooked nose and jaw? (Photo)

Answers (4)

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