Since it has been at least one year, a revision rhinoplasty and accomplish straightening the crooked nose. osteotomies of the nasal bones are required to straighten them. Any residual dorsal hump can be filed down. Asymmetry in the tip of the nose may require cartilage grafting and cartilage removal to make the asymmetrical tip more symmetrical. For many before and afters of crooked noses repair in our practice, please see the link and the video below
A revision rhinoplasty can be done to address all the problems you describe including nasal breathing obstruction. If you don't want to return to your original surgeon consult with a revision rhinoplasty specialist.
You require a secondary rhinoplasty.Secondary surgery is more difficult and less predictable than primary surgery. As far as the breathing issues it would depend on the internal anatomy.
Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. Cartilage grafts may also be used to help improve tip refinement.
You may also benefit from spreader grafts to help straighten your nose. 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
Your nasal bones could be repositioned with osteotomies to help straighten your frontal appearance. Without examining the inside of your nose and determining where your airway obstruction is coming from it is difficult to say what effect this would have on your breathing, if any. Seek out a trusted revision and functional rhinoplasty expert to learn more. Good luck!