Can I rasp my bony callus and have tip work done without septoplasty? (photos)

Question

Fractured nose years ago, saw doctor immediately. No breathing issues but left with crooked nose & hard bony callus on right side of upper nasal bridge & slight convexity on left side. My nose appears large from left 3/4 view. Mid nose on right is concave but not much bothered by it. I'd rather avoid a septoplasty for financial reasons (no insurance). I'd like minimal tip & dorsal refinement. Is it possible to rasp the bony callus & have tip reduced without touching the middle 1/3 of the nose?

William Portuese, MD · Answer

A septoplasty is performed on the internal portion of the nose when there is blockage of airflow through the nose from a deviated septum. A septoplasty is performed for medical necessity, and does not change the shape of the nose. A septoplasty can be performed as a stand-alone procedure, or in combination with a rhinoplasty. A rhinoplasty can address shaving down the dorsal hump, adjusting the nasal tip cartilages as necessary, and performing any other changes patient's so desire.

Robert S. Schmidt, MD · Answer

Thanks for your question. I see what you're talking about. It's definitely possible to tailor nasal surgery to what you desire. As far as the specifics, an in-person consultation would be needed to properly assess you. But yes, in general you can have the outside fixed without any work on the septum. Good luck.

Dennis Barek, MD (retired) · Answer

The answer is "yes". All that work that you describe can be done without septoplasty. Concavities can be filled with crushed lateral crura from the alar cartilages..

Can I rasp my bony callus and have tip work done without septoplasty? (photos)

Answers (3)

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