My Nose Has Been Growing More and More Crooked over Time. Why is It Doing This ?

It’s virtually impossible to make a specific recommendation without pictures or a physical exam in your particular case. Your history suggests the presence of either a congenital nasal deformity or post traumatic nasal deformity. The presence of orbital asymmetry suggests a congenital deformity, but trauma can’t be ruled out. It’s not unusual for patients to suffer nasal trauma and not remember the event. With the passage of time, the nose may gradually curve into an abnormal position.

                Unfortunately both of these conditions require surgical intervention. In some cases, both rhinoplasty and septoplasty may be necessary.

                If you’re concerned about nasal deviation, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to evaluate your condition and formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals. 

During and following puberty, the nose and midface can grow rapidly. 

This rapid growth can create facial and nasal deformity, deviation and asymmetry.

Usually the septal deviation can lead to nasal deviation and asymmetry.

Once you stop growing and everything has stabalized, you can have septoplasty and rhinoplasty procedure done and this can correct the asymmetry and crookedness of the nose.

Hope this helps,

Ali Sajjadian, MD, FACS

 

The teens represent a stage of rapid facial and nasal growth and it is very common for nasal asymmetry to manifest in this way.  By age 16 or 17 the growth should stabilize and you can have rhinoplasty +/- septoplasty to address the asymmetry

You're at an age when there is quite a bit of facial growth. It is during this time that deviations can become more evident (without having any trauma). It's unlikely that the nose will straighten itself own its own, but once you have stopped growing in the next couple years you could have a surgery to straighten the nose.

When I was a resident I was taught "as the septum goes, so goes the nose," The top third of the nose is bone. The lower 2/3 cartilage. A crooked nose, which is usually the lower 2/3 has to do with angulation of outer parts of the nasal septum. A crooked nose is often associates with an internally deviated septum as well. Unfortunately if this is the case as a teenager, it will not straighten itself out. A specialist in rhinoplasty can help you get a straighter nose, and help the breathing as well if you have nasal obstruction.

At 15 you are probably still going through puberty and growth. The nose is often one of the  last body parts to complete growth.    It can be fixed when you have completed growing.  For women usually by 15 or 16, For men by 17 or 18.

There may be an underlying reason why your nose is becoming more crooked with time.  Generally, the underlying anatomy has to be examined as a deviated septum can cause what you are describing.  Please consult with a board certified specialist for a proper examination to assess your underlying anatomy and who can best guide you towards achieving the results you seek.

You are experiencing puberty when your nose grows and the deviation becomes more obvious. Your crooked nose will not improve with time but can be corrected with a rhinoplasty in the future.