Which procedure should I choose for my nose? I think it's crooked (Photo)

Question

Good morning. My nose makes me insecure because I think it's crooked. I don't really want filler because I would prefer a stable result. It is possible a small operation under local, involving a small resection of the underlain cartilage (of the side 2, where you can see a bump - it is not a cyst because a made a visit)? Or, is it better to put some cartilage on the other side, the side 1? What would you do? Thank you so much for your time it means a lot to me.

Jacob Tower, MD · Answer

Hello, hope you are well. I agree with your judgement and would not recommend filler. In addition to what we can see with your external nose being crooked, my guess is that you have a deviated septum. I would recommend septorhinoplasty with involves harvesting cartilage from the nasal septum (straightening it in the process if needed), and then reconstructing the lower 2/3rds of the nose with cartilage grafting to correct the asymmetry. Osteotomies would likely be performed as well. 
Best,Dr. Tower

John Michael Thomassen, MD · Answer

A formal rhinoplasty would be the best longterm option.  It would require osteotomies and septoplasty to place the nose in the midline without cartilage grafts which may resorb unevenly.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question!As far as I can see from your photo,Your nose has s shape deviation it can cause breathing issues as well , the most suitable operation for you is rhinoplasty operation, but nasal operations are performed under general anesthesia.If you can provide photos with better lighting, from the side of your face and 1 meter away I would be able to make a proper evaluation. It would be more convenient to decide with face-to-face consultation. Best regards!

Zoran Potparic, MD · Answer

There are different ways to correct such a small asymmetry. Fillers and cartilage grafts should be considered. However, only on the basis of in person consultation with a board certified plastic surgeon, expert in rhinoplasty one could give you the best advise. Good luck.

Robert Ciardullo, MD · Answer

Cartilage graft for crooked nose: if you do not wish to undergo a septoRhinoplasty to straighten the nose a more limited procedure which can usually be done under local anesthesia, would be to take a piece of cartilage from the back of your ear and add it as an “onlay“ graft to the concave side which is your left. This is a camouflage technique and does not truly straighten the crooked septum but makes it “look straight“. A full septorhinoplasty with direct work on the septum would be another way to go which is a little more involved.

Which procedure should I choose for my nose? I think it's crooked (Photo)

Answers (5)

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