I have a crooked nose which I have been consulting several surgeons for rhinoplasty. Some surgeons have told me I have a crooked face - crooked chin and asymmetrical eyes. But some have told me this can all be corrected with the rhinoplasty. Before I go into a serious procedure like this, will rhinoplasty make my facial asymmetry NORMAL? And is it possible to make my crooked nose straight? I have a deviated septum but I don't think I broke it.
April 9, 2015
Answer: Rhinoplasty question Based on your limited photos, you indeed appear to have some bony asymmetry of the facial skeleton. Actually, this is quite common and most people have some asymmetries if critically examined.There are two ways to approach skeletal asymmetry. One is to correct the bony skeleton and the other is to camouflage at the soft tissue level.Straightening your face would require upper and lower jaw surgery, which is quite involved and would probably require some orthodontic treatment as well.A rhinoplasty procedure could be performed and the lower face could be treated with fat or fillers with more volume placed on the left side to create a more symmetrical appearance. An asymmetrical genioplasty would be an option to more closely align the mid facial plane. A genioplasty would move the chin bone only and would not change your bite or require any orthodontic treatment.
Helpful
April 9, 2015
Answer: Rhinoplasty question Based on your limited photos, you indeed appear to have some bony asymmetry of the facial skeleton. Actually, this is quite common and most people have some asymmetries if critically examined.There are two ways to approach skeletal asymmetry. One is to correct the bony skeleton and the other is to camouflage at the soft tissue level.Straightening your face would require upper and lower jaw surgery, which is quite involved and would probably require some orthodontic treatment as well.A rhinoplasty procedure could be performed and the lower face could be treated with fat or fillers with more volume placed on the left side to create a more symmetrical appearance. An asymmetrical genioplasty would be an option to more closely align the mid facial plane. A genioplasty would move the chin bone only and would not change your bite or require any orthodontic treatment.
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April 8, 2015
Answer: Crooked nose/crooked face The answer to your question is no. A rhinoplasty alone will not correct overall facial asymmetry.From the pictures you shared, you have deviation of your chin point to the left, and deviation of your nose to the right. A rhinoplasty will correct one of those problems, but not both. The addition of a genioplasty (moving your chin bone) will be able to fix this; it is not uncommon for a rhinoplasty and genioplasty to be performed at the same time for this reason...your problem is not uncommon. Consult with a board certified plastic surgeon who has experience with both nose and chin surgery and allow them to guide you to the right procedure or combination of procedures.
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April 8, 2015
Answer: Crooked nose/crooked face The answer to your question is no. A rhinoplasty alone will not correct overall facial asymmetry.From the pictures you shared, you have deviation of your chin point to the left, and deviation of your nose to the right. A rhinoplasty will correct one of those problems, but not both. The addition of a genioplasty (moving your chin bone) will be able to fix this; it is not uncommon for a rhinoplasty and genioplasty to be performed at the same time for this reason...your problem is not uncommon. Consult with a board certified plastic surgeon who has experience with both nose and chin surgery and allow them to guide you to the right procedure or combination of procedures.
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