How to Fix a Bent Nose? (photo)

It’s not unusual for patients who’ve suffered nasal trauma to develop significant deviation of their nasal pyramid.  When this situation arises, several anatomic components may contribute to this deformity.  These components may include distortion of the nasal bones and significant deviation of the nasal septum
            Correction of this problem requires reconstructive rhinoplasty and in most cases a septoplasty.  Septoplasty surgery not only straightens the septum for cosmetic reasons, but removes nasal airway obstruction as well.

            It’s important to realize that once the nasal septum is injured, it has a tendency to curve even after it’s been repaired and straightened.  Under these circumstances, it’s not unusual for patients to suffer recurrent deviation of the septum after surgical repair. 

            For these reasons, repair of this type of deformity requires consultation with a board certified plastic surgeon.  This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals. 

I'm sorry that you've had to endure bullying simply because of the shape of your nose. Based on your photos, I would recommend rhinoplasty to straighten and shorten your nose as well as to raise and refine the tip to be more in harmony with the rest of your face. Surgery that only straightens the bone may be less than satisfactory as the nasal bones and cartilage have “memory” and tend to return to their original shape over time. Noses are complicated structures that take a great deal of skill to alter well and permanently. You will need to find an expert. I hope this helps.

Based on your photos, your nasal appearance is a bit large and distracting. If you have significant dissatisfaction with the appearance of your nose, consider consulting with several rhinoplasty specialists so you could see if surgery might be right for you.Hope this helps.Dr Joseph

There are many things that can be done to make your nose better. It can be straightened and the tip can be improved. The first step is a consultation with a board certified plastic surgeon. In Austin, Texas we charge $5999 including all fees and a hospital operating room for patients similar to your photos.

There are many techniques for straightening noses.  Much of it depends on how much straightening of the bone and cartilage you will need.  In general, for major changes I usually use the open Rhinoplasty approach.  You may need cartilage grafting as well.  I would seek an evaluation with an experience Rhinoplasty surgeon to review your options.

Your posted photos show significant facial bone asymmetry with the left cheek and jaw more prominent than the right, oblique deviation of the nose to the left, a hanging strip of skin between the nostrils. Some of these were likely present when you were young but not as visible as the bones were smaller then. Oblique deviations are usually treated by cutting a strip of cartilage from the back edge of the septum and shifting the remaining cartilage into the midline groove in the underlying bone. The hanging strip of skin is elevated by removing a small strip of cartilage from the bottom of the septum. Additional maneuvers may be required as these photos are not optimal.
I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

It does appear that your nose angulates to the left on the photos you submitted. In addition, you appear to have a tension nose deformity which is pushing your tip downward and also over projecting your nose from your face. This can all be corrected with a rhinoplasty procedure. I would suggest you consult with a board certified facial plastic surgeon in your area. Good luck.

The deviated nose is one of the more challenging problems in rhinoplasty, but extremely satisfying for the patient when the deviation is corrected.  Based on the photos you have provided, you would be a good candidate to consider rhinoplasty.  Also, it appears that you may have a septal deviation which is contributing to the "bent" appearance of you nose.  That should be corrected at the same time as your nose surgery.  The tip and bridge of your nose may be refined during the same surgery. RB

Hi Bridget,

Sorry to hear about your nose experience. People can be mean.

The best way to correct you crooked nose is with rhinoplasty.  You should consult with a few experienced rhinoplasty surgeons and then choose your surgeon most carefully.  Good luck and be well.

Dr. P

Rhinoplasty for the crooked nose with a bump involves removing the bump and straightening the septum and nasal bones. Your tip is wide and can be refined and given a NATURAL nose. Select an experienced rhinoplasty surgeon.