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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
Hello and thank you for your question. Based on yourphotograph, 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 afterpictures of real patients who have had this surgery performed by your surgeonand not just a computer animation system. The most importantaspect is to find a surgeon you are comfortable with. I recommend that you seekconsultation with a qualified board-certified plastic surgeon who can evaluateyou in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
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
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
Hi sighhh and thank you for your question. Sorry to hear this happened! What you are describing sounds like the incision from the alar base reduction may have opened. If this is the case, it may need to be revised. This is something that can often be done in the office with a...
Dear jashore in Boulder, Colorado: It sounds like you have several medical conditions which could be a factor. Rhinoplasty is appropriate to change the skeleton but often the skin is changed as the result of medical conditions. I think you need a very thorough exam and consultation and a...
It takes a significant amount of trauma to damage the nose after rhinoplasty procedure. Lightly bumping the nose will not cause any damage.