My nose is slightly bent at the tip. Will I need surgery? (Photo)

Question

It's goes to one side. I don't know if i will need surgery to fix it or if it can be fixed some other way.

Sean R. Weiss, MD, FACS · Answer

the tip of the nose does appear to deviate slightly.  The best approach to correction would be with surgery.   A rhinoplasty procedure will be able to achieve what you are looking for.  Best Regards

William Portuese, MD · Answer

A full set of pictures and an in-person examination is required to determine the exact nature  of what is causing the nose to be crooked. When the nasal bones are crooked, osteotomies are performed. When there is a crooked midportion of the nose, a spreader graft composed of the patient's own cartilage is inserted underneath the concave upper lateral cartilage. When the nasal tip is twisted, a tip rhinoplasty performed.If the caudal septum is crooked a columella-plasty is performed. For many examples of crooked nose repair in our practice, please see the link and the video below

Emmanuel Mallol Cotes, MD · Answer

Thank you very much for sharing your concerns with us.The harmony between facial parts makes us instinctively recognize the beauty... without knowing it, without defining it, just a perception that surprises and captivates us.In this regard, I suggest perform a Closed Rhinoplasty (without visible scars) to treat the tip, base and nasal bridge.With this procedure you get a delicate nose, better harmonize with your other facial features.Respectfully,Dr. Emmanuel Mallol Cotes.-

Fred G. Fedok, MD, FACS · Answer

As I tell many of my patients - many times we do not "need" corrective surgery; but we may want it.  And that is ok.  Corrective surgery of the face has many benefits.  Physically it can bring more of the face into harmony, thus adding to a person's attractiveness and eliminating a distracting feature.  It has many psychological benefits.  It can increase confidence and improve one's self-image.  When that happens people frequently perform better.  When one has a "crooked" tip or other isolated undesirable feature of a small part of their nose it is important that any local correction be made in concert with the rest of the nose.  There are many competent rhinoplasty surgeons in the country and I am confident you can find a competent surgeon.  In looking at the limited images of your nose supplied I believe a suitable correction is in your potential future.Best of luck, be discerning.Fred G. Fedok, MD FACS

Sandy Sule, MD · Answer

tip deviation can be the results of another deformity of the nose--either internal or external. You could see about having a nonsurgical rhinoplasty first to see what exactly is wrong with your tip and a nonsurgical way to make the tip straight.

Darryl J. Blinski, MD · Answer

try non surgical rhinoplasty first with HA fillers....................................................

John A. Standefer Jr., MD, FACS · Answer

Deviation of the nasal tip is often caused either by a deviation of the most forward projection of the cartilaginous septum (caudal septum) or by a deviation of the lower portion of the lower lateral cartilages (columella). If the deviation is enough of a concern, either or both of these can be adjusted for a straighter nasal tip. From the photo that you posted, it is impossible to tell how much improvement to expect. Fillers will not likely solve a twisted or deviated nasal tip. John Standefer MD

Richard W. Fleming, MD (retired) · Answer

Tip deviation may be secondary to deviation of the distal septum or asymmetry of the tip cartilages. I usually recommend a very limited rhinoplasty procedure so the patient has permanent correction. Fillers are recommended by some surgeons but I'm always concerned about compromised circulation if the material is injected in the wrong layer of the tip tissue which can cause serious complications if the patient ever has surgical correction at a later date.

My nose is slightly bent at the tip. Will I need surgery? (Photo)

Answers (8)

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