The bridge of my nose (dorsum) is slightly crooked. Can it be shifted back to its original place? (Photo)

Question

I broke my nose in 2020 they put the bones back in to place but it did not go back to how it looked before I broke it , it healed slightly crooked the bridge of the nose is leaning to the right , I went to a rhinoplasty surgeon to get his insight on if he thought he could fix it he told me they actually did a really good job he said the bones are in place they straightened the septum but the dorsum is slightly shifted the cartilage and he said there’s no way of moving them is there a solution?

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision to help straighten your nose. Maneuvers for this would include osteotomies and placement of spreader crafts, among other maneuvers. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Paul Chatrath, MBBS, FRCS · Answer

HiThank you for your question. I am slightly surprised that you were told that nothing could be done - that is not the case. There are techniques available which should be able to straighten up the nasal bones at the top, which involve gently breaking the bones on either side (and sometimes also in the centre) so that the nasal bony pyramid can then be readjusted back into a more central position. What I cannot tell you for certain is whether the nasal bones will end up being as straight as they were before the injury, however I would expect some noticeable improvement. Finally, if this were the only surgery you need on the nose, it should be possible to do it via a closed ‘endonasal’ approach rather than having to do it through an incision. Best of luck.

William Portuese, MD · Answer

Your nose actually does look quite good after your nasal fracture and repair. It appears at one of your nasal bones is higher than the other and slightly crooked. To fix that would require rhinoplasty to shave down the dorsal hump, which is asymmetric, and placement of both medial and lateral osteotomies. This should be considered cosmetic and not billed to a patient's medical insurance. Very important to understand there is no perfect nose, just improvements.

The bridge of my nose (dorsum) is slightly crooked. Can it be shifted back to its original place? (Photo)

Answers (3)

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Everything you need to know about Revision Rhinoplasty

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The bridge of my nose (dorsum) is slightly crooked. Can it be shifted back to its original place? (Photo)

Answers (3)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.