How can my crooked nose tip (caused by a deviated septum) be improved?

Question

I have a deviated septum that has made the tip of my nose asymmetrical. One side caves in further than the other side and it looks crooked. Depending on the lighting and shadows on my face, it is sometimes not very noticeable and other times extremely obvious. What can be done to fix this?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.As far as I can understand from your question. For get rid of this asymmetric image I recommend you Rhinoplasty.If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

Andrew Miller, MD · Answer

From your photo, you are a good candidate for rhinoplasty. It's not just the septum that causes asymmetry - the cartilages that make up the tip can be asymmetrical as well. A well performed rhinoplasty can improve these things and refine the tip. It is important to understand that no nose will look great from all angles and in all different kinds of light so it's important to be realistic in expectations.

Gianfranco Frojo, MD · Answer

Based on your photos you would likely need a rhinoplasty surgery to achieve your goals. You need to see a board eligible or board certified plastic surgeon to ensure an adequate history and physical exam is obtained / taken. Only then can you appropriately provide treatment recommendations for a patient, especially when it comes to a complex procedure such as rhinoplasty. Please ensure that you find a surgeon well trained in rhinoplasty, and ideally one with 3D imaging software that can help you see the postoperative goals.

Philip S. Schoenfeld, MD, FACS · Answer

Thank you for the photo.  From what you have sent it appears that you have asymmetry of your lower lateral cartilage with a pronounced concavity on the right.  Your septum, though it may be deviated, is not contributing to this finding.  I would suggest a septorhinoplasty in order to address any functional and cosmetic nasal issues that you would like to improve.  An experienced surgeon will be able to explain all of this in a concise fashion.

Eric M. Joseph, MD · Answer

Your photo may not show a "crooked" nasal appearance. You appear to have a wide nose and a deeper "supra-alar crease" on your right compared to your left. If this small indentation of your right tip is causing your nose to look distracting, you can consider filling this with microdroplet Silikon-1000, depending on your examination. Hope this helps! Dr Joseph

George Bitar, MD · Answer

Your nasal appearance can be improved by rhinoplasty.  Based on your photo, the tip does look asymmetry and big (bulbous), creating the caved in area.  These concerns can all be addressed during rhinoplasty.  The deviated septum can be improved by removing the crooked cartilage.  The nasal tip can be made more symmetric and refined by altering the cartilage at the tip.  Other things that can be addressed include a prominent bump on the nose or difficulty breathing from the nose.  It would be difficult to assess without more photos and a thorough examination.  I would recommend consultation with a board-certified plastic surgeon, experienced in rhinoplasty surgery.

Zoran Potparic, MD · Answer

Based on this photo your nose does not look crocked. You seem to be very good candidate for rhinoplasty with, possibly, cartilage grafts. In person consultation with a board certified plastic surgeon, expert in rhinoplasty, is recommended. Good luck.

Jeffrey Lisiecki, MD · Answer

A rhinoplasty with septal reconstruction will correct the septal deviation and make your nose more symmetrical, as well as any other goals you have for the shape of your nose.

Robert Ciardullo, MD · Answer

Fixing a crooked nose: in some cases asymmetry of the nose is caused by an underlying deviated septum. In other cases it may be due to asymmetry of the nasal bones, or previous trauma or developmental asymmetries. In the single picture you show the asymmetry in your case appears rather minor but there are multiple procedures that can be done during a rhinoplasty or septoplasty or combined rhinoplasty and septoplasty to address asymmetry and crookedness. Crooked noses cannot always be made perfectly straight and sometimes need secondary adjustments. But that is true of severely crooked noses which yours is not.

Ufuk Duzenli, MD · Answer

Hello , At first u have a facial asymetry . Your nose has some asymetry problems but the main problem is in your face. We can make your nose more straight by using osteotomy techniques and spreader grafts and tip surgery but we cannot fix your face asymetry

How can my crooked nose tip (caused by a deviated septum) be improved?

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