Rhinoplasty for deviated nose: if just the septum and tip are operated on, would the whole nose look displaced?(photo)

Question

I am considering rhinoplasty for me deviated nose. I appear to have an asymmetrical face, such as the top of the nose not centered inbetween the eyes (i think) and some other features. I'm concerned that if a doctor just operated on the septum and tip of the nose, the whole nose would be displaced on the face. which would also make the nose not align with the top lip. I assume that the top of the nose would need to be broken and centered from there first. Looking for opinions from doctors.

Jonathan Kulbersh, MD · Answer

Hello, and thank you for providing images along with your question. Rhinoplasty can successfully fix a crooked nose, and I believe you may benefit from the procedure. Your concerns about asymmetry issues and the overall aesthetics of the nose can easily be addressed by a board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts have an edge in both experience and knowledge of facial anatomy, as well as the critical interplay between nasal function and aesthetics. Schedule an in-person consultation so your surgeon can assess your nose, recommend and explain the best surgical approach, as well as ensure the best possible outcome.

Lucian Ion, FRCS · Answer

Thank you for your question and sharing your photographs.

If you take a slightly broader view on the subject, you will be able to appreciate that a human face has asymmetries in each and every component. The alar base position is not centred in alignment with the midpoint between the eyes, the eyes are not set at the same level, the upper lip is not central and neither is the chin.

A strict geometrical analysis for alignment of the nose will identify a multitude of conflicts that cannot be resolved to perfection.

That being said I believe that the nasal pyramid in your case shows what we would refer to as a high septal deviation. This typically requires repositioning of all structures including the nasal septum to allow for improvement in the relationship between the nose and the rest of the facial features.

In my experience, ultrasonic the rhinoplasty provides benefits for this type of surgery.

You have to factor in that true symmetry is not likely to be achieved even if the nose looks generally straight and also that the outcome of surgery is never identical to computer simulations.

Ronald J. Edelson, MD · Answer

Your entire nose is crooked to some degree and you would benefit from a full rhinoplasty. When your nose is crooked to begin with there is a good chance there will be some asymmetry afterwards regardless of the technique used or the doctor. There are a lot of doctors who claim they can straighten the crooked nose. But then I look at their websites and see that they have noses that were crooked before and crooked after. At least to some degree.

Rhinoplasty for deviated nose: if just the septum and tip are operated on, would the whole nose look displaced?(photo)

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