How is a Crooked/twisted Nose Corrected? Is It an Expensive Procedure? (photo)

I suffered some heavy trauma to the nose this past year and while i do not think it "broke" at any point, i am sure some of the cartilages were severely damaged. I did not seek any medical help as these happened during sports and i wasn't too concerned. But i started noticing that it leans to my left and that is when i panicked. It looks awfully asymmetrical and unattractive (i also have a big nose to begin with) so i wanna get it fixed. If i push on it manually, will it reset?

Doctor Answers 18

Rhinoplasty or septorhinoplasty is needed to improve form and correct function after apparent nasal trauma

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First - no, pushing on your nose manually will not fix the crookedness. You need surgery - rhinoplasty or, likely, septorhinoplasty. Cost varies depending on a number of factors which you should discuss with a board certified facial plastic surgeon.

General Approach in Fixing a Crooked Nose: When considering fixing a crooked nose, the nose is generally considered in terms of two regions:

  1. bony portion of the nose between the "nasion"- at the junction between the nasal bones and the frontal bones between the eyes, and the "rhinion" - at the lower portion of the nasal bones.
  2. cartilaginous portion of the nose - between the tip of the nasal bones and the tip of the nose - this usually comprises the lower 2/3 to 1/2 of the nose.

General Strategy for Fixing Your Crooked Nose: From what's visible in your photo, it looks like the crooked portion of your nose is likely in the bony portion. This is actually good news from a repair standpoint.

Crookedness of the lower cartilaginous portion of the nose tends to be slightly more challenging to fix since the cartilage has "spring" and memory. Thus, it has a tendency to return to its previous position.

Conversely, correction of the crooked bony portion tends to be more straightforward as the bones readily heal in the corrected or reduced position.

Good news: Correction of your crooked nose appears to be very achievable and not overly complicated for a good rhinoplasty surgeon. You should seek an in-person consultation with a rhinoplasty specialist so that he/she can fully assess the aesthetic and functional factors to consider.

Bay Area Facial Plastic Surgeon
4.6 out of 5 stars 18 reviews

Rhinoplasty to Correct a Crooked Nose

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      You will need surgical intervention to correct the crooked nature of your nose. The size of your nose can be reduced as well.  Find the plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties each year.  Kenneth Hughes, MD Los Angeles, CA

How is a Crooked/twisted Nose Corrected? Is It an Expensive Procedure?

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After a period of settleling your nose settle down from the trauma you should see a board certified Plastic surgeon.  It appears you may need a rhinoplasty and a septoplasty.

Paul Vitenas, Jr., MD
Houston Plastic Surgeon
4.8 out of 5 stars 116 reviews

How is a crooked/twisted nose corrected?

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Hello, and sorry to hear about your injury. I would not recommend attempting to manipulate your nose. Depending on how long it has been since the trauma, a closed nasal reduction can be performed. This is typically performed within a week of any trauma that took place. It would be best to have your nose examined by a board certified rhinoplasty specialist. He/she will be able to assess your nose in person and provide you with recommendations. In general, surgery would be necessary to correct a crooked nose. Cost can vary depending on the surgeon and the individual circumstances of the patient. I hope this helps, and I wish you the best of luck.

Paul S. Nassif, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 49 reviews

Correction of the crooked nose during rhinoplasty

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This is a very common issue for which patients come seeking a rhinoplasty. It's likely that you fractured your nasal bones towards your left during one of these sports-related nasal traumas. Within the first 2-3 weeks, the nasal bones can be pushed back into place, what's called a closed reduction. Once this window of time has passed, straightening the nose requires a functional rhinoplasty, also called a nasal reconstruction. The bones can be moved by creating small, controlled fractures (osteotomies) along the sides, where the nose meets the cheeks. These are done through tiny incisions inside the nose. Spreader grafts and straightening of your septum (septoplasty) may also be necessary, to improve both the shape of your nose and your ability to breathe.  At the same time, if you wanted your nose made a bit smaller, these cosmetic changes could also be performed.

Without insurance coverage, the average cost for primary (first-time) rhinoplasty in the U.S. is generally in the $6-9K range. However, if your insurance covers a portion or all of your surgery, your actual out-of-pocket costs may be significantly reduced. Be sure your surgeon specializes in rhinoplasty, as experience and extensive rhinoplasty training are very important for this type of surgery. 

Best regards,

Dr. Mehta

Umang Mehta, MD
Bay Area Facial Plastic Surgeon
4.7 out of 5 stars 52 reviews

Correcting a deviated nose

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Based on your photos it appears that you would be a good candidate for rhinoplasty with septoplasty, such as the example in the link below.  The cost of the procedures varies based on a number of factors

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

Correction of Deviated Nose

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Unfortunately you can do nothing to improve the appearance or function of your nose without surgery. See an experienced surgeon to explain what would be done.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Correction of a crooked nose

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If someone breaks his/her nose, it can be manipulated within the first few days. Once the tissue settles in a crooked position, just pushing your nose is not going to change it.

Crooked/deviated nose is a common reason for rhinoplasty - the operation involves (depending on what needs correcting) separating/repositioning of the bones and cartilages of the nose including the midline septum. In UK it costs about £4-5000 depending on what needs to be done.

Anindya Lahiri, FRCS (Plast)
Birmingham Plastic Surgeon

Septorhinoplasty Needed to Straighten and Reshape Nose

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No amount of external compression is going to change your deviated nose. For correction this is going to require an open septorhinoplasty as it is not just one thing (deviated septum) that is making your nose look the way it does. Basically your entire nasal structure needs to be changed as well as straightened to get the best result.

Repairing Crooked Nose Deformity

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Looking at the photo, it certainly looks like you might benefit from plastic surgery of the nose. In all likelihood pushing on the nose manually will not reset the nose to its proper position. Surgery is going to be required by an expert rhinoplasty surgeon. Do your homework and consult with someone who has documented (photos) experience in managing the crooked nose deformity. There is a reason why many plastic surgeons only show profile views in their before and after galleries - that is because getting the front view symmetrical is one of the hardest aspects of performing rhinoplasty.

John M. Hilinski, MD
San Diego Facial Plastic Surgeon
4.7 out of 5 stars 44 reviews

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.