Is Correcting a Crooked Nose a Difficult Procedure?

Because I know at least 2 incidents that the surgery was unsuccessful and their nose is still crooked and they have a hump in one side. What I wanna know is why is this difficult to achieve ?Is it because the crooked nasal bones aren't too much mobile or the blame is on the surgeon ? Which procedure would you classify as more difficult, straighten a crooked nose or a typical rhino (aka hump removal and correcting of the open roof) ?

Doctor Answers 14

Correcting a Crooked nose

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Generally speaking, straightening a crooked nose is a very challenging procedure and it is essential to have a specialist perform your surgery. It is important to have realistic expectations, as it is difficult to obtain a perfect result where the nose is 100% straight. Thank you and I hope this helps.


Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Straightening a crooked nose

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A deviated nose is one of the most challenging endeavors for rhinoplasty surgeons.  Patients should have the expectation that the nose will look improved but not perfectly straight.  Since every deviated nose is unique, the procedures required to fix it will vary from patient to patient.  Here are some reasons for persistently deviated noses after surgery:

1.  Swelling-  It can take up to a year or more for swelling to resolve.  Swelling can have an impact on how the nose looks.  Early on it may be difficult to see how the nose looks until swelling resolves.

2.  Incomplete correction-  Under correction is one of the most common results after repairing a deviated nose.  If the result is from persistent deviation of the bone of the nose, a minor correction can be used to help align the nose.  If the resultant deviation is due to cartilage in the nose, a more major procedure may be indicated.  In extremely deviated noses, patients may require an additional minor procedure to help the nose look straighter.

3.  Cartilaginous and soft tissue memory of the nose-  The cartilage of the nose has memory and depending on the technique utilized may influence the nose back to the deviated side.  Even in radical reconstructions of the nose, the soft tissue memory of the nose may influence it slightly back to the original deviated side.  

Anil R. Shah, MD
Chicago Facial Plastic Surgeon
4.8 out of 5 stars 171 reviews

Correcting a Crooked Nose

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Correcting a crooked nose is one of the most difficult  rhinoplasty operations that we do. I think it is so challenging because there are multiple different connected structures in the nose that must be individually straightened and aligned to achieve the perfectly straight symmetrical result.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

They are difficult

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The short answer is yes. Crooked noses occur due to malposition of the bone or cartilage or both. Occasionally the nose appears crooked because of natural asymmetries in the face and where the nose attaches to the face. These are not always easy to change. If it is cartilage or bone then significant improvement can be achieved.

Jeffrey Jumaily, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

Crooked Nose IS a Difficult Procedure

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Rhinoplasty is frequently quoted as being the most difficult procedure in cosmetic surgery. One challenge that patients and surgeons face is the task of straightening a crooked nose.  Usually it is possible to make significant improvement in symmetry and straightness (both inside and out) -- but, making a nose perfectly straight is very difficult.  As surgeons, we do have a certain degree of control in the operating room and the goal is always to make the nose look the absolute best (straightest!) as possible. However, what we dont have control over is the healing process. It is possible for a nose that was made near perfectly straight in the operating room, to become slightly crooked before it heals completely. If the nasal bones are surgically broken, they can shift slightly due to swelling or from an accidental bumping of the nose, which can cause it to shift slightly.

Correcting a deviated nose can be a challenge

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A crooked or deviated nose is usually a result of childhood trauma or occasionally is a congenital deformity and can often affect nasal breathing and function. One of the most challenging things to do during a rhinoplasty is to straighten a deviated nose. Several factors contribute to this. The first factor is that the deviated cartilage and bone has a certain level of memory that must be addressed. Another factor is that the nasal deviation may also occur in the setting of facial asymmetry.

What this means is that it can be difficult to find a true midline plane in which to try to place the new nasal position.To create a more straight nose the underlying framework must be made as straight as possible. This includes repositioning the septum and nasal bones to the midline. Once the septum is centered any deviation of the nasal bones is then addressed by resetting bone fractures known as osteotomies.

Definitely discuss this with your doctor. Having reasonable expectations is best because this procedure can be a challenge.

Best,

Dr. Saigal


Kapil Saigal, MD, FACS
Winter Park Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Crooked nose repair

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Crooked nose repair is one of the most difficult maneuvers we perform during rhinoplasty.

Part of the difficulty in straightening a crooked nose is that the cartilage and bone of the nose have memory. This creates a situation where the bone/cartilage that is out of place wants to revert back to its original position.

There are several techniques that we can use to address this. Regardless, perfect symmetry is always difficult to achieve with any surgery.

Crooked Nose Correction

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A crooked nose is one of the most difficult problems in rhinoplasty surgery. The problem is that the structural elements of the nose, i.e. the nasal bones and the septum are out of alignment. These all must be fractured and reset properly to straighten the nose. The cartilagenous part of the septum also has a tendency to go back to its original curve like plastic and reverse the results over time. It takes great experience to fix a crooked nose and get long lasting results.

 

Is Correcting a Crooked Nose a Difficult Procedure?

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  Correcting a crooked nose with Rhinoplasty is one of the most difficult things to achieve.  Cartilage has memory and may continue to remain deviated despite Rhinoplasty.  Rhinoplasty should be used to make your nose more aesthetically attractive and may not make it even or straight if it starts out crooked.  

Crooked Nose Rhinoplasty

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Absolutely. Rhinoplasty is a challenging procedure even in the most experienced hands.  Correcting the crooked nose is particularly challenging for a couple of reasons:

  • There is a cosmetic deformity--the nose is twisted
  • There is often breathing difficulty as well

The difficulty in this particular situation is that the patient is looking for both cosmetic improvement and functional improvement. Add other medical problems (smoking, diabetes) or prior surgery on the nose, and the level of difficulty is compounded.  Depending on the particulars of the surgery, it may be difficult to get a "home run" in both categories.  However, if you go to an experienced rhinoplasty surgeon, you should expect significant improvement in both function and appearance.  Please feel free to view some crooked nose rhinoplasty before and after photos at my website VisageCenter . com

 

Andrew Winkler, MD
Lone Tree Facial Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.