Is my nose hump genetics or due to deviated septum? Is my deviated spectrum causing my crooked nose? (Photo)

Question

So my deviated septum is causing me a lot of breathing problems and i would like to get it fixed. I also have a bump on my bridge of my nose where the bone prominently sticks out and in photographs its clear that my nose is crooked. I would like to know if fixing my deviated septum will also fix my crooked nose and bump and whether these are adding to my breathing problems.

Jeffrey R. Raval, MD, FACS, MBA · Answer

The crooked nose may be related to a deviated septum and septoplasty surgery, performed on the inner nose, can improve your breathing.  The bump does not impact your breathing, but a rhinoplasty can improve the shape of your nose. These two surgeries are performed together under one anesthesia and can improve the breathing function and the aesthetic look of your nose.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your
photograph, you may benefit from a septoplasty and spreader grafts to straighten your nose and improve your breathing. You may also benefit from a dorsal hump reduction.  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. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Gerald Minniti, MD, FACS · Answer

Hello,Your septum is deviated, causing your nose to be asymmetric, and possibly affecting nasal airway patency/airflow. Go visit a few ABPS certified/ASAPS member surgeons (or their AAFPRS equivalents) who specialize in rhinoplasty. Best of luck!

Toby Mayer, MD · Answer

Rhinoplasty to correct a crooked nose and septum. Yes both can be corrected and the hump removed.  See a very experienced rhinoplasty surgeon who does natural noses.

Paul E. Chasan, MD, FACS · Answer

Based on the limited photos, you are an excellent candidate for rhinoplasty. I would straighten your nose and also soften the bulbous tip and smooth the dorsum. Straightening the nose requires removing a piece of your septal cartilage (septoplasty) and placing two small braces of cartilage along the length of your nose called "spreader grafts". This will not only straighten your nose, but will make the airway larger so you can breath better. Make sure you find an experienced rhinoplasty surgeon and clinically review his or her results. Best wishes to you.

Tim Sayed, MD, MBA, FACS · Answer

In person exam is required to assess your bone and cartilage and to look on the inside of your nose to identify what is going on to contribute to your crooked-appearing nose. A dorsal hump (bump near top of nose along the slope) is usually related to genetics but can also be impacted by trauma to the nose. Septal deviation is more apt to cause the nose to look crooked from frontal view and/or cause some difficulty breathing out of one side. You should be examined in the office to assess your septum, your cosmetic concerns, and other functional issues so an action plan can be developed.

Jeffrey Jumaily, MD · Answer

Septum deviation can cause breathing problems and it can cause the nose to be slightly crooked. It is not associated with a hump on the bridge or crookedness due to bony deviation. These are separate issues that are treated separately during the rhinoplasty procedure.

William Portuese, MD · Answer

The dorsal hump is composed of both bone and cartilage which must be surgically shaved down with a rhinoplasty procedure. The nasal bones can be straightened with osteotomies. A spreader graft is placed on the concave side of the mid--portion of the nose. Both of these are considered cosmetic and must be paid for by the patient.   A septoplasty is performed in the back of the nose for functional purposes and is only performed improved breathing. A septoplasty will not change the shape of the nose, or straighten it. A Septoplasty and a Rhinoplasty can be performed simultaneously under one anesthesia which allows one recovery period. For more information about the differences between a septoplasty and a rhinoplasty, please see the video below

Robert Singer, MD · Answer

The internal and external nasal areas that you described and would like improved can be addressed with a nasal surgery (rhinoplasty),a septoplasty and possible turbinate surgery which are typically done at the same time. A natural appearing nose can be achieved when the procedures are performed by an artistic plastic surgeon with extensive experience in nasal surgery. A septoplasty alone will not straighten your nose.
Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on a limited two dimensional photo without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not
 be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) or facial plastic surgeon (otolaryngologist) that you trust and are comfortable with. You should discuss your concerns with that surgeon in
 person.
  
Robert Singer, MD FACS
  
La Jolla, California

Matthew Kienstra, MD, FACS · Answer

Excellent questions. As always, in person exam is best to give the most accurate advice. From your pictures, it looks like your septal deviation may be throwing your tip off center, but it appears your nasal bones are deviated as well. This is usually from trauma but can be something you are born with. The bump is likely something you were born with a predisposition to getting. I would recommend you consider rhinoplasty with the septoplasty. The septoplasty alone is unlikely to straighten your nose enough or take care of the bump by itself.

Is my nose hump genetics or due to deviated septum? Is my deviated spectrum causing my crooked nose? (Photo)

Answers (12)

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