Do I have a deviated septum or are my nostrils just two different sizes? (photos)
Yes a cleft palate definitely means something. All individuals with a cleft palate have a deviated and deformed septum. Whether that is responsible for your asymmetrical nostrils, or whether your nostril size is a genetic trait is not possible to determine without examining you. Furthermore, your nasal speech is most likely related to your cleft palate because most individuals who have undergone a cleft palate repair in the past require further palatoplasty after their development is complete for problems specifically related to speech. I suggest you consult with a board-certified plastic surgeon who subspecializes in maxillofacial surgery.
Do I have a deviated septum or are my nostrils just two different sizes?
Thanks for your question.
You have mild nostril asymmetry.
You also have retracted nostrils and tip cartilage asymmetry. This accounts for the shape difference in your nostrils.
A history of cleft palate can go with the development of a nasal sounding voice.
If these things bother you, I would recommend that you consult with a rhinoplasty specialist and a voice specialist to discuss your options.
Deviated septum and cleft palate
Thank you for your very good question. If there are issues with breathing and function, then most likely you do have a deviated septum. Cleft palate patients almost always have some form of deviated septum. Only at an internal nasal exam will confirm this, as pictures from the outside cannot visualize this. If this needs to be corrected, a septoplasty would need to be in order. Furthermore, if your voice is nasally, then this may be an issue also with your palate. It would be best to get an an evaluation from a plastic surgeon who can look into your voice and nasal issues. In addition if you would like the appearance of your nose changed, then a rhinoplasty can be performed. Good luck!
Septoplasty for a deviated nasal septum
Most patients who have a cleft palate have a deviated nasal septum. To make the diagnosis of a deviated nasal septum requires a thorough examination of the internal portion of the nose. A septoplasty is performed to improve air flow through the nose. A rhinoplasty is performed to change the shape of the nose.