This response is dictated using the word recognition. My apologies for any potential grammatical errors. When we say someone has a crooked nose, it always needs to be in reference to surrounding areas. Of course, there are like someone has a sea curve or curve to their nose in which case the nose itself curved. For deviation it’s usually a reference to surrounding areas. All people have facial a symmetry. The degree of a symmetry is quite substantial. if you look at computer generated images of symmetrical faces, or a face made up of two left sides or two right sides. We can see just how much a symmetry the average person actually has. The asymmetry is usually based on bone structure and comes from embryological development. During early development, the two sides of the face develop independently from each other, and eventually fuse in the midline. That form in the midline from a medical perspective often have some embryological issue at its origin. If you cover the image of your face to just below your nose, so that your upper lip is covered, your nose doesn’t look crooked at all. It matches the two sides of your face well. If you look at the relationship between the lower part of your nose and your upper lip, you see a strong deviation the question then becomes is it your nose that’s not aligned or is it your upper lip that’s not aligned or is it both. Accepting that we all have facial asymmetry understanding things that look out of balance is not always easy or straightforward. One way of doing this is to take a string and place it in the center of your forehead, and then let the string drape across your face with slight tension, and with your other hand, put the string on the bottom center of your chin. You can also draw straight line with a ruler down the center of the face and see what lines up and what doesn’t. Regardless, I don’t think you should try to correct the asymmetry. It’s based on skeletal structure and most most likely there before your surgery. To make an accurate assessment regarding the outcome of any plastic surgery procedure we always need to see a complete set of proper before and after pictures. If you don’t have before, and after pictures, then try contacting your previous provider and ask them to forward the pictures they took. Rules very states by state, but at three years, you’re provider should still be obligated to maintain your medical records. Best, Mats Hagstrom, MD