Crooked nose. Do I have a deviated septum? (photo)

Question

Do I look like I have a deviated septum? Looking for reasons why my nose might be crooked

Semih Yildiz, MD, FEBOPRAS · Answer

The photo shows mild apparent nasal asymmetry, but head position, facial asymmetry, and camera angle can influence that impression. External crookedness may come from the nasal bones, upper lateral cartilages, tip cartilages, septum, prior trauma, or a combination. The internal septum is not visible well enough here to determine whether it is deviated.

Diagnosis requires an intranasal examination, and sometimes endoscopy, together with symptoms such as one-sided obstruction, recurrent congestion, or nosebleeds. Septoplasty treats internal obstruction but does not always straighten the external nose; when both function and appearance need correction, a septorhinoplasty may be recommended. Standardized photographs and an airway examination are the appropriate next steps.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question For this, you first need to have a detailed ENT examination, you can consult ENT doctor.
It would be better face to face consultation.
Best Regards!

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with your facial plastic surgeon who can examine you and give you opinion based on examination.

Eric M. Joseph, MD · Answer

The only way to determine if somebody has a deviated nasal septum is to look inside of their nose with a nasal speculum and a headlight. Turn your photo, you appear to have a slight indentation along your left nasal sidewall, and this could be contributing to your crooked nasal appearance. Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for adding volume to the indentation and creating a straighter nasal appearance. I hope this helps. Sincerely, Dr Joseph

William Portuese, MD · Answer

To make the diagnosis of a deviated septum requires an in-person examination. You cannot see the septum from the outside of the nose. From this one limited photograph, your nose appears very straight. To be a candidate for a rhinoplasty requires a full set of pictures from all angles.

Gary M. Horndeski, MD · Answer

A simple frontal view cannot show whether you have a deviated septum.  I will need a view from the floor looking up into the nose to give you a more accurate answer.

Best Wishes,

Gary Horndeski, M.D.

Tek Przylecki, MD, FACS · Answer

Hello and thank you for your question. The best way to determine if you have a deviated septum is with an intranasal speculum examination. If you do, your nose can likely be straightened with surgery and symmetry improved. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Lexie Wang, MD · Answer

you barely have a crooked nose if you look at the contours of it - the tip aligns up with the midline of your lips/teeth. Most likely what you are seeing is the natural degree of asymmetry we all have on our faces and how the nose sits on the face is causing you to see some of that. as for a deviated septum, that would only be able to be discerned by an in person internal exam.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. The best way to determine if you have a deviated septum is with an intranasal speculum examination. If you do, your nose can likely be straightened with surgery and symmetry improved. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Crooked nose. Do I have a deviated septum? (photo)

Answers (9)

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