What happening to my nose? It used to be straight but now the nose tip is veering to the left. Can surgery fix this? (Photos)

Question

I have noticed my nose progressively getting crooked over the last ten years or so. I find it more noticible in pictures but I am starting to feel quite self-concious about it. My dermatologist suggested I leave it alone as surgery might make it worse but I have yet to consult a plastic surgeon about it. Would surgery correct this? I am concerned that it will just keep worsening with time. I've included several pictures.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. You do have nasal tip asymmetry which can corrected with rhinoplasty and cartilage grafting.  Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose.   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. The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

William H. Sabbagh, MD · Answer

Hi lilipad, After looking at you pictures it does appear that the tip is twisting towards the right and the nose may tilt a little to the left. It is a little difficult to tell from the pictures you sent.  The exact cause would require an examination but the twisting tip is usually caused by a deviated caudal septum, that is the bottom edge if the septum may be in the left causing the columella and tip to twist right.  Hard to say if it will get worse and yes it most likely can be corrected.  May require more than just fixing the tip though.  Hope this helps.

William Portuese, MD · Answer

From the limited photographs, there appears to be some degree of asymmetry in the nasal tip which can be addressed at the time of a rhinoplasty procedure.  The full rhinoplasty  can accomplish making the necessary changes to refine the bridge line, adjust the tip asymmetries, and decrease the overall projection of the entire nose with all the incisions placed on the inside of it. For many examples of crooked nose repair from our practice, please see the link and the video below

What happening to my nose? It used to be straight but now the nose tip is veering to the left. Can surgery fix this? (Photos)

Answers (3)

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