Off-center nose / crooked philtrum - how can it be fixed? Do I require a septo/rhinoplasty? (photos)

Question

Assymetry is getting worse especially my philtrum as I age. Do I have a deviated septum and would the assumetry improve with a septoplasty only or I would require a rhinoplasty also?

Gary M. Horndeski, MD · Answer

You definitely need a rhinoplasty/septoplasty.  The septum is deviated as well as the nose.  I recommend an open approach.  The procedure will take 2 hours to perform.

Best Wishes,

Gary Horndeski, M.D.

Jacob Tower, MD · Answer

Hello, hope you are well. Great photos and questions. Your septum can only be properly assessed by examining the inside of the nose, but you have a significant external nasal deviation that almost certainly indicates the septum is twisted as well. To straighten the nose would require a septorhinoplasty, and you could expect a tremendous improvement in symmetry.
Best,Dr. Tower

Ronald J. Edelson, MD · Answer

It appears that the lower edge of your septum is deforming that area. The lower edge of the septum needs to be shortened and that should help

Off-center nose / crooked philtrum - how can it be fixed? Do I require a septo/rhinoplasty? (photos)

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