What procedure can be done to my crooked nose? (Photo)

As a boy I was gifted with a pleasing nose. But somehow as I grew through puberty it grew out of line and on one side (on the top right of the bridge) it has a sharp bit of cartilage sticking out. What procedure can be done to achieve symmetry and straightness without affecting the tip or lower part of the nose? How precise are you able to shape the upper bridge given the pictures I have shown? What are the risks? Will the tip be unintentionally affected by just working on the upper bridge?

Doctor Answers 5

Nasal bridge bump / crooked nose

Thank you for your inquiry!

Based on the pictures and the description above, it seems that you are a good candidate for a corrective rhinoplasty that will improve the way your nose looks to complement your facial features in a natural fashion. A closed rhinoplastic approach can be the most appropriate way to address the issue in hand. However, without a physical examination it is not possible to provide you with specific details. I highly recommend that you schedule a consultation with a well-experienced surgeon.

It is important to mention that the finest cosmetic results in any particular case are based on a variety of factors, including: the unique anatomy of the patient, realistic expectations, a well-informed and detailed discussion with your plastic surgeon concerning the best options for you especially covering a deep understanding of the pros and cons of any given choice you will adopt.

Please keep in mind that following the advice from a surgeon online who offers to tell you what to do without a physical examination covering the nature and the status of the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative solution would not be in your best interest. With that in mind, it is the safest and for your best interest to find a plastic surgeon with solid experience and certified by the American Board of Plastic Surgery who is ideally a member of the American Society of Plastic Surgeons that you will trust and be comfortable with. You should discuss your concerns with that surgeon in person.

Good luck!!!

Ali Sajjadian, MD FACS

Orange County Plastic Surgeon
5.0 out of 5 stars 196 reviews

What procedure can be done to my crooked nose?

The hump can be reduced and the nose straightened through a closed rhinoplasty approach without a visible scar to produce a natural result.

Find a board certified plastic surgeon who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Rhinoplasty for crooked bridge and asymmetrical nose

The  dorsal hump is composed of both bone and cartilage  and is quite evident in patients with thin skin as in this photograph. Shaving down  the hump and can be accomplished to make the dorsal hump removed, and then osteotomies will be required of the nasal bones to straighten and narrow them. The rhinoplasty procedure is an outpatient surgical procedure that takes approximately an hour and a half under  general anesthesia and expect 10 to 14  days of visible bruising and swelling after the procedure. For made examples, please see link below  to our rhinoplasty photo gallery

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 145 reviews


You could have improvement with a rhinoplasty but an exam in person is essential to determine what needs to be done.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Rhinoplasty candidate?

Thank you for your question and for submitting photos. Attractive noses are those that have a pleasing proportion. With rhinoplasty we are taking the portions of one's nose that are out of proportion and putting them into better proportion. This is done by changing the boney and cartilaginous framework of the nose. Parts of your nose are out of proportion and could be brought into better proportion. The remainder of the nose, the parts you'd like preserved such as the tip, can be left unchanged. Changes in the upper part of the nose can be fairly precise. Risks of rhinoplasty are very small. It is important that you find a board certified plastic surgeon who does many rhinoplasties (not all plastic surgeons do.) Ask to see before and after photos.  

William McClure, MD
San Francisco Plastic Surgeon
4.8 out of 5 stars 5 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.