Does this look like a deviated septum to you? (photos)

Question

My nose has always been crooked and I'm trying to figure out why. Is it because of a deviated septum?

Nick Slenkovich, MD · Answer

You are correct that a deviated septum is often present underlying a twisted, curved or deviated nose.From the picture you show of the underside of the nose, it appears that the septum may be visible on the left side (right side of the picture). Your best bet is to get a careful examination. I'd recommend a consultation with an qualified rhinoplasty surgeon that has experience with both internal and external nasal surgery.Hope this helps.Nick Slenkovich, MD FACSDenver Plastic Surgeon

Roy A. David, MD · Answer

Dear Alysonwonderland  , thank you for your question.Septo-rhinoplasty is a popular procedure that can
dramatically change one's appearance. Consult with a board certified facial plastic
surgeon who can perform computer imaging to show you what may be possible.
Before and after photos are a good way to evaluate your surgeon.Good Luck!

William Portuese, MD · Answer

A deviated septum can only be diagnosed with an in person consultation and examination of the back of the nose. From the base view the caudal septum looks symmetrical. If the nose is twisted the nasal bones and upper lateral cartilages can also be asymmetrical which may need a full rhinoplasty, not a septoplasty. A septoplasty only improves air flow dynamics through the nose, and does not change the shape of it. For many examples of crooked nose repairs with closed rhinoplasty, please see the link below to our rhinoplasty photo  Gallery

Stephen Weber MD, FACS · Answer

Your caudal septum appears to be deviated. This is the portion of the septum between your nostrils. With regard to the rest of your septum you would require an examination to look further inside your nostrils. The only change that septum straightening, alone, would create would be to improve the symmetry of your nose on that second photo. If you're looking for any other changes in the size or shape of your nose, you would require a septorhinoplasty. I agree with the advice that you should seek a consultation with a rhinoplasty specialist. I hope this information is helpful.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Richard W. Fleming, MD (retired) · Answer

I cannot tell if your septum is deviated, but it appears that you do have some nostril asymmetry. An examination will be necessary to evaluate the septum.

Robert E. Zaworski, MD (retired) · Answer

Consult with a Board Certified Plastic Surgeon for an exam to determine if you have a deviated septum. An  internal exam is needed to make that determination.  A cosmetic Rhinoplasty may be all that is needed.

Does this look like a deviated septum to you? (photos)

Answers (6)

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