Curved/crooked nose after revision rhinoplasty - why is the crookedness still there? (photos)

Question

My main concern with my nose is this curve/crooked I have on the bottom left side of my nose. I would love to have that natural contour look from the front of my nose without bumps/crookedness. This crookedness appeared after my first rhinoplasty and was the main concern that was explicitly mentioned to the second surgeon who did my revision. Why is this crookedness still there? Is it difficult to remove due to its location? I really hate the front and 3/4th view as you can really see the bump.

Andrew Miller, MD · Answer

It is hard to explain why there are small irregularities that can be present after both initial and revision rhinoplasty. It is usually just the contour of the underlying cartilage, the soft tissue and skin is different from one side to the other. The best way to deal with it is to use an injectable first to see how it fills. If it works well, then silicone, which is permanent can be used.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! I can see what you're referring to. The fullness in that location could be cartilage or underlying bone. The crookedness may still be there because this wasn't addressed with proper restructuring and smoothing to the bridge and midvault. It can be difficult to get the exact result you're showing, but improvements can be made. If the area is hard, it likely needs surgery to remove it. If the area fluctuates or swells and is soft, then steroid injections and taping first would be an option. If you're in Denver, check us out. Hope that helps!

Curved/crooked nose after revision rhinoplasty - why is the crookedness still there? (photos)

Answers (2)

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