Can a deviated septum influence to position/asymmetry?

Question

Hello I wanted to know if a deviated septum can influence position of the tip or if the tip is very asymmetrical does the septum have anything to do it in some cases?

Eric M. Joseph, MD · Answer

There is certainly a relationship between the position of someone's nasal tip and the bottom of their nasal septum. In our experience, if the bottom of the septum is deviated towards one side, the tip may veer opposite that and lead to a crooked nasal appearance. Hope this helps! Dr Joseph

Gianfranco Frojo, MD · Answer

Yes, a deviated septum can most certainly influence the position of the tip. The tip can also be asymmetric with a straight septum. This is quite variable and is the reason why an experienced and well trained surgeon is critical. I would highly recommend seeing a board-eligible of board-certified plastic surgeon with rhinoplasty experience, particularly one with 3D imaging that is capable of simulating your surgery so you can be on the same page regarding the outcome. Best of luck.

Richard A. Bartlett, MD · Answer

A deviated septum can affect the symmetry and position of the tip of the nose. I recommend reaching out to a Board Certified Plastic Surgeon who performs Rhinoplasty Surgeries for a consultation and assessment.

Nima Shemirani, MD · Answer

Hi @beautyqueen2023. This is an excellent question. Septal deviation is the main cause of tip deviation and tip asymmetry. I recommend seeing a rhinoplasty specialist for an in person examination. Best of luck to you, Dr. Nima!

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.If you have a deviated septum it can of course lead to asymmetry in the tip and even in the nostrils. The septum is what influence the most the symmetry of the nose.To make a better evaluation of your case I would need more informations and photos as well.Best regards!

Jeffrey Lisiecki, MD · Answer

Yes, septal deviation is the main cause of tip deviation and tip asymmetry--it is rare to have tip deviation without septal deviation. Similarly, to straighten a nose in surgery, getting the septum straight is very, very important.

Ronald J. Edelson, MD · Answer

Yes a deviated septum can contribute to a crooked nose but it’s not that simple. There are many things that can contribute to asymmetry including the cartilage, muscles, bones ligaments.,so simply straightening a deviated septum alone often doesn’t lead to a straight nose

Lucian Ion, FRCS · Answer

Thank you for your question.

The nasal septum can be deviated:
- Only in the central part, which does not influence the external appearance of the nasal pyramid
- In the lower part which typically deviates the tip
- Over the top edge which typically deviates the bridge
- A combination of the above

One of the problems with rhinoplasty surgery is that when the nasal bones are reset and the tip cartilages are adjusted the natural support mechanism is change and the septum becomes the reference for support and direction. Problems with deviation of the septum then transmit to the external shape even if the nose has been straight before the surgery.

Because of this, it is important to straighten the septum as much as possible during surgery to ensure a straight overall appearance for the nasal bridge and tip after the surgery.

Robert Ciardullo, MD · Answer

Can a deviated septum influence the nasal tip? Yes most causes of nasal tip asymmetry and crookedness are caused by nasal septal deviation.

Ahmad H. Ahmadi, MD · Answer

The paired cartilages that comprise the tip of the nose sit on the septum. Therefore, any deviation of the septum can affect the position and symmetry of the tip. Certainly, tip asymmetry can occur even if the septum has no deviation in it.

Can a deviated septum influence to position/asymmetry?

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