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

Question

I am 15 and when I was a child it wasn't even a problem but as time went one of my eyes was getting higher then the other and it was noticable in photos. Then I started to notice that my nose was getting slanted and crooked and was moving off to the right. I am worried I really want to know why this is happening?I want to know of I would need surgery or if my nose will somehow correct itself? Now my eyes aren't much of a problem it seems to be as I've grown it fixed itself.

Richard J. Bruneteau, MD · Answer

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.

Ali Sajjadian, MD, FACS · Answer

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

Sam Naficy, MD, FACS · Answer

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

Thomas A. Lamperti, MD · Answer

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.

Steven J. Pearlman, MD, FACS · Answer

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.

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

Answers (8)

Answer: Nose growing deviated with time

Answer: Nose growing deviated with time

Answer: The nasal septum determines a straight or crooked nose.

Answer: The nasal septum determines a straight or crooked nose.

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

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

Answers (8)

Answer: Nose growing deviated with time

Answer: Nose growing deviated with time

Answer: The nasal septum determines a straight or crooked nose.

Answer: The nasal septum determines a straight or crooked nose.

Browse related questions

Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.