Is the misaligned tip of my nose able to be corrected with a rhinoplasty? (photos)

Hello and thank you for your question. Although an exam in person is ideal, from your photographs alone it appears that you can benefit from a subtle tip rhinoplasty where the nasal tip cartilage is modified to straighten the columella -- the central portion of nasal skin between your nostrils where your "nose connects to the upper lip". The modification of your nasal cartilage can be done with trimming, stitching or grafting. However, the key in that last sentence is "grafting" -- typically your septum is harvested for cartilage in a rhinoplasty; if you already had a septoplasty, your septal cartilage was likely resected and you may need MTF (cadaver) cartilage to use as a graft to align the nasal tip as you mentioned.

The next step for you is to find the right aesthetic plastic surgeon. In your rhinoplasty consultation, be sure your surgeon addresses all your aesthetic goals and concerns specifically, and discusses the surgery details including the position and size of the incisions used (with actual photographs and not just digital animations), the risks and benefits of the procedure, recovery time, and post-operative course. Also, be sure to see plenty of before-and-after pictures in women who have a similar nose appearance to yours, and preferably at different time frames (3 weeks out, 3 months out, etc) to more accurately predict your own surgical outcome.

After seeking out a board-certified plastic surgeon who specializes in aesthetic plastic surgery, I think the most important component of the consultation is to establish a good connection with your plastic surgeon. It’s the connection that allows you to clearly define your desired nose outcome goals, the first step of this whole process. If you don’t feel you have a good connection with your plastic surgeon after your consultation, he/she may not be the best surgeon for you.

For more information on rhinoplasty, please refer to my link below.

Good luck.

Mark K Markarian, MD, MSPH, FACS
Harvard-trained Board Certified Aesthetic Plastic Surgeon

Dear coleman1,
it is hard to tell for sure without an examination. Based on your photos. it looks like you would benefit from rhinoplasty. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

It is very difficult to see on these photos, where the problem is? It looks that your distal septum attachment to nasal spine is off; this can be corrected with revision surgery. In person consultation with a board certified plastic surgeon with good reputation in rhinoplasty is recommended. Good luck.

An in person exam would need to be done to determine what is making the lower part of your nose crooked. Depending on the cause there are multiple options for correction.

Sometimes trying to fix a subtle abnormality of the nose can lead to bigger issues. You have to weigh the risks and benefits carefully. In your case the abnormality is minor.
You can always try fillers as well to correct a minor issue of the nose but go to someone experienced to avoid complications of fillers in the nose.
Regards
Dr. J

Malalignment of your Columella: an additional view of your nose from underneath looking up at the nostrils would be helpful in making a better assessment. However, in general when one has a deviated septum some residual malalignment may persist despite a septoplasty. The malalignment is more likely to be a residual of the original septal deviation than a result of the corrective septal surgery. Further work can sometimes be done to correct the residual asymmetry.

Much more information is as a full set of facial photographs from all angles including a view up your nostrils to see how crooked your columella is. Also important to have a copy of the operative report, if possible. A septoplasty is performed in the back of the nose to improve air flow dynamics and will not change the shape of the nose. A rhinoplasty is performed to cosmetically change the shape of the nose such a straightening the crooked nose. Both can be performed separately or together when necessary.

Hi and welcome to our forum!
From your photos, I note displacement of the caudal nasal septum to the left with distortion of the left nostril as well as a keratotic lesion of the left side of the supratip.
One may consider performance of a revisional septoplasty to reposition the septum in a midline position along the vomerine groove. You should also have the keratotic lesion on the side of your nose evaluated as well. 15% of cosmetic surgeries require a secondary touchup.
Visit a board certified plastic surgeon for evaluation, examination, and discussion.
Best wishes...