Do I have a crooked nose due to a deviated septum? (photo)
Doctor Answers 7
Crooked Nose Due to Deviated Septum
Do I have a crooked nose due to a deviated septum?
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Kenneth Hughes, MD
Los Angeles, CA
Septoplasty and rhinoplasty are two completely separate operations
A septoplasty is performed for medical necessity which needs to be documented as blocking air flow passage through the nose. A septoplasty is billed to the patient's medical insurance for medical necessity. A septoplasty will not change the shape of the nose. A rhinoplasty is performed for cosmetic purposes and can straighten or refine the appearance of the nose. For many examples, please see link below.
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Septum alone not the problem
Correcting the crooked nose at the same time as a deviated septum
1. Visible external nasal deviation with internal septal deviation
2. No visible external nasal deviation (nose appears straight) with internal septal deviation
3. No visible external nasal deviation (nose appears straight) without internal septal deviation.
In your case, your external nose appears to be deviated to your left and it is possible that you also have a deviated septum internally. This could be confirmed during a consultation including an examination of your nose. Additionally, there are other areas of the nose that can be the cause of structural obstruction including the external valves, the internal valves and the turbinates. Physiologic problems can also cause nasal airway obstruction in the absence of a structural deformity - these include problems such as allergic rhinitis.
It is possible to correct the nasal airway obstruction at the same time as improving the appearance of your nose. Addressing a deviated septum that affects nasal airflow can also improve the external appearance of your nose; however, correcting the crooked nose typically requires other technical maneuvers in addition to septoplasty to obtain the best possible cosmetic result.
You should see seek the opinion of a board certified plastic surgeon to have an evaluation of your nose and nasal airway.
Crooked Nose & Deviated Septum