Are S shape deviated septums noses easier to make appear straight with a septorhinoplasty? (Photo)

Question

I’m strongly considering a septorhinoplasty as I dislike how my nose has developed a hump and deviated. It used to be straight 4 years ago and I love the appearance of it then and I would hope to get it to look the same again. It caused me to start mouth breathing for a good few years until I realised that was bad and the obvious difference in how my nose looks now. Could a septorhinoplasty make it look like before and become straight again?

Lucian Ion, FRCS · Answer

It is most likely that the septum has not changed shape unless there was an injury. In this case, a slight displacement of the tip cartilages has probably led to the contour problems that you are describing.
The nasal airway can become worse over time around a septal deviation, in particular if there is a new allergic reaction developing to housedust or other irritants.
Assessment of the septum and correction of the deviation if present would be important parts of both improvement for the airway and the external appearance. It is however fair to say that the appearance is not likely to be an identical replica of your previous shape. 
If you would prefer to retain a small nasal bridge bump, this can be done, but in surgery it is also possible to create a straight bridge contour.
For planning the surgery, computer imaging can help, and if you have also side to view photographs of your nasal shape that years ago it would assist to have them when you attend for your consultation.

Suleyman Tas, MD, FEBOPRAS · Answer

Hello,
Thank you for your question. Based on your limited view you may benefit from the aligment of the nose and refinement of the bulbous tip. An experienced Board Certified plastic surgeon can address both functional and cosmetical issues at once preferably by the Closed Technique which doesn't leave scars and provides a flash recovery process. To find out more similar before and after pictures please click on the attached link. 
Best Regards

Pejman Aflaki, MD · Answer

Hello and thank you for the question and sharing your photos. I believe you are a good candidate for a septorhinoplasty. You do have a deviated spetum and a bulbous nasal tip and benefit from correction of deviated septum and nasal tip refinement. My best advice is that you discuss your concerns and aesthetic goals with a board-certified plastic surgeon with extensive experience in performing rhinoplasty. I would ask to see before and after pictures of their real patients. It's important that you trust your surgeon's skills and ability to achieve the results you are looking for. In particular, pay attention to your surgeon's experience with rhinoplasty. Best,
Pejman Aflaki, M.D.
  
Johns Hopkins-trained double board-certified plastic surgeon

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from septoplasty and spreader grafts to help straighten your nose.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. 
 
 Best wishes and good luck.

Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon

Behrad Elmiyeh, MBBS, MRCS, FRCS (ORL HNS) · Answer

Thank you for your questions and sharing your photos. You would benefit from having a Septorhinoplasty to correct both your S shaped septum as well as enhancing the cosmesis of your nose. I would suggest that you require the use of spreader grafts and nasal tip refinement. 
 A nasal surgeon (Rhinologist) with expertise in perforimng complex Septorhinoplasty surgery can deliver aesthetic improvement without compromising nasal airway.
Best Wishes

Victor Manuel Agudelo, MD · Answer

Hello, 
To correct a deviated nose it's necessary to straighten the septum first, so a septorhinoplasty is what you need. Choose an experienced rhynoplasty surgeon, correcting a deviated nose is sometimes challenging.

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