How to Fix a Crooked Nasal Cartilaginous Bridge?

Crooked noses are fixed many ways. Select an experienced rhinoplasty surgeon whose results look natural.

Straightening a crooked dorsum can be one of the most challenging problems in nasal surgery.  One of the reasons the bridge can be crooked is due to a deviation in the cartilaginous portion of the dorsum, which is the equivalent position of the upper lateral cartilages and dorsal septum.  To address a crooked nasal cartilaginous bridge, changes must be made to these structures.  If the patient has long nasal bones and a short middle vault, osteotomies to the nasal bones may correct a deviated cartilaginous bridge. However, spreader grafts typically are required to address a depressed upper lateral cartilage. Other techniques which may be required include placement of a onlay graft. As you can tell, several techniques can be used to correct the middle dorsal vault, however the surgeon should choose the appropriate technique based on each individuals anatomy.

Fixing a crooked nose can be very challenging and can occasionally be accomplished with strategic incisions and sutures whereas more complex problems may require cartilage grafts to establish, hold or secure the desired structure.