Also, can making the nose straighter from the front possible? Are there risks with this?
Hello and thank you for your question. When good technique is used, osteotomies are low risk. It is possible to make a nose straighter from the frontal view with septoplasty and spreader grafts in most noses. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon. If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon. Best wishes and good luck. Richard G. Reish, M.D. FACS Harvard-trained plastic surgeon
Main risk of a nose osteotomy is the bruising associated with rhinoplasty. Osteotomy is needed to improve the appearance of your nose and make dorsal aesthetic lines (DAL) from defined. For asian rhinoplasty, it may also be needed to build the bridge of the nose by using a graft. Regarding your second question, yes, nose can be made straighter. Deviated or crooked nose can be because of cartilage or bone. For cartilage deviation, it can be improved by taking part of cartilage out and adding a graft surrounding it. For bony crooked nose, you definitely need osteotomy to improve. Risks associated with most of rhinoplasty is prolonged swelling and some bruising. If osteotomy is not done properly, it can cause crooked look but that is less than 5% chance of happening.