Is it possible to repair a deviated septum and fix aesthetic issues? (Photo)

That peculiar name refers to a type of nose in which the pyramid, the hump, the nasal bones and the triangular cartilages are overdeveloped, this is too large, however there is a constriction at the skin cover and the cartilages forming the lower third of the nose (tip, alae, colulmella, infratip, etc.).

This is a very difficult and tricky type of nose, the surgeon has to weaken and reduce the upper two-thirds and at the same time reinforce and eventually augment or at least over support the lower one-third, by means of powerful grafting within structure rhinoplasty.

Read at the link below to know more about tension noses and their treatment, also some images of real cases.

Whenever somebody has dissatisfaction with their nasal appearance, and also has breathing issues, we always repair both at the same time. It is a mistake to have septoplasty, or other functional issues addressed without the cosmetic issues, if they're going to continue to bother you. Wishing you well moving forward. Sincerely, Dr Joseph

Absolutely . Narrowing the nose base,removing the bump, reducing the projection of your nose, fixing the hanging columella, fixing the deviation and giving it some more definition will give you the best results while keeping your nose’s masculinity. Best of luck to you.

Couple of recommendations in selecting a surgeon: make sure you see the doctor's before and after photos of other patients. Make sure the doctor makes morphs of your photos to show you what he has in mind for your nose, so you can approve or disapprove, make changes to the morphs, and come up with a goal that you like AND that the doctor thinks he can actually accomplish.

Hello and thank you for your question. Based on your photograph, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. It is very safe and normal to have sub septoplasty performed at the same time. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Your photograph is very limited. However, it appears you would benefit from a rhinoplasty and septoplasty.

Best Wishes,

Gary Horndeski, M.D.