What Can Be Done to Fix my Nose? Broken 5 Years Ago, Had Septoplasty, Still Crooked? (photo)

It was broken 5 years ago and i had a septoplasty done last year because i could not breath out of one nostril. I can breath perfectly but aesthetically i find my nose is crooked still. I thought when i was going in for surgery that this would have been corrected.

Doctor Answers 3

Rhinoplasty to Correct Crooked Nose

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An isolated septoplasty will not correct a very crooked nose.  From the picture provided your crooked nose will likely require addressing multiple areas of deviation.  A crooked nose needs to be analyzed by dividing the nose into thirds.  The upper one-third is composed of the bones of the nose, the middle third is composed of the cartilages that make up the sidewalls of the nose and the septum, and the lower third of the nose is composed of the septum and the cartilages encompassing the tip.  Correcting a crooked nose is a very challenging endeavor and it first requires the proper analysis and diagnosis in order to then implement the proper techniques.

Septoplasty or Rhinoplasty to Straighten Nose

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Septoplasty, surgery on a deviated septum, generally applies to only the inside of the nose to improve nasal breathing. On the other hand, rhinoplasty alters the external appearance of the nose. There may be overlap between septoplasty and rhinoplasty procedures for some patients, especially involving straightening the outside of the nose. Most patients with a crooked nose need a combination of procedures to improve symmetry. Only after a comprehensive evaluation can a rhinoplasty surgeon help determine appropriate options for you. Best of luck.


Houtan Chaboki, MD
Washington DC Facial Plastic Surgeon
4.9 out of 5 stars 89 reviews

Straightening a Crooked Nose with Septoplasty

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Thank you for posting your photos and sharing this question. Septoplasty is an operation to fix a deviated, crooked, fractured, or otherwise inappropriately shaped septum. This operation concentrates on the part of the septum that most affects breathing -- lower down, inside the nose.  When the nose is broken (from external trauma), often the septum is bent or broken -- along with the nasal bones. This can cause a crooked dorsum (the outside part of the nose, or the nasal bridge).  Straightening a crooked dorsum is more complicated and often requires reshaping the nasal bones with osteotomies (controlled breaks) or even opening up the nose. A rhinoplasty specialist can help with these issues.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.