What can i do to fix this asymmetry? Is a rhinoplasty still possible? And what can be done about the crushed right nasal bone?

October 19, 2011
Asked By:J_L

About a year ago I underwent a septoplasty to correct a severely deviated septum that resulted from a broken nose when I was younger. My surgeon removed what must of been sizeable bone spur that was obstructing the nasal passage which definitely helped with my breathing. Unfortunately, it did little to correct the aesthetic appearance of my nose. The septum is still very deviated midway up the nose so it has maintained its crooked appearance. This is due to the septum pushing out against the nostril while the other "droops".  Furthermore, my right nasal bone is caved in slightly due to the break adding to the appearance of crookedness/curve. When I consulted a plastic surgeon a bit later about the possibility of a septoplasty revision he said it would not be worth it considering a lot of cartilage was removed. This would make it hard to re-anchor/attach the septum and would also increase the risk of perforation. What can i do to fix this asymmetry? Is a rhinoplasty still possible? And what can be done about the crushed right nasal bone? I have considered fillers to even out the appearance of the curve and create symmetry. Though i'd want permanent results, Is this a better option?  Thanks in advance!

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Answers (20)

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November 7, 2011

Answer: Rhinoplasty after septoplasty

William Portuese, MDBoard Certified Facial Plastic Surgeon
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MOST RECENT
November 7, 2011

Answer: Rhinoplasty after septoplasty

William Portuese, MDBoard Certified Facial Plastic Surgeon
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November 2, 2011

Answer: Septoplasty: probably necessary. Rhinoplasty perhaps not.

Robert Kotler, MD, FACSBoard Certified Otolaryngologist
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November 2, 2011

Answer: Septoplasty: probably necessary. Rhinoplasty perhaps not.

Robert Kotler, MD, FACSBoard Certified Otolaryngologist
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November 1, 2013

Answer: Rhinoplasty can be safely performed after septoplasty but seek an experienced surgeon

Stephen Weber MD, FACSBoard Certified Facial Plastic Surgeon
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November 1, 2013

Answer: Rhinoplasty can be safely performed after septoplasty but seek an experienced surgeon

Stephen Weber MD, FACSBoard Certified Facial Plastic Surgeon
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October 24, 2011

Answer: Rhinoplasty revision or fillers?

Toby Mayer, MDBoard Certified Facial Plastic Surgeon
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October 24, 2011

Answer: Rhinoplasty revision or fillers?

Toby Mayer, MDBoard Certified Facial Plastic Surgeon
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October 24, 2011

Answer: Rhinoplasty after Septoplasty

Richard W. Westreich, MDBoard Certified Facial Plastic Surgeon
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October 24, 2011

Answer: Rhinoplasty after Septoplasty

Richard W. Westreich, MDBoard Certified Facial Plastic Surgeon
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