Does my nose bone need to be broken for straightening the nose? (Photos)

Question

Does my nose bone need to be broken for straightening the nose, as my right nostril is 80% blocked. Do I need a septoplasty or a regular rhinoplasty? I am reluctant to having a procedure under general anesthesia, could I have it done under local? What exact procedure would I need, considering my nose looks different from each angle.

Anil R. Shah, MD · Answer

Hello,

Straightening your nasal bone will not fix your breathing. In order to fix your breathing you have to straighten your septum with a proper septoplasty and potential functional aesthetic rhinoplasty. General anesthesia is the best option for this but there are other options including IV sedation. It depends on your goals!

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with a facial plastic surgeon who can examine you and discuss the surgical procedure and the post op recovery process

Eric M. Joseph, MD · Answer

Since the nose is part of the airway, we recommend general anesthetic for everybody. And since the inside of the nose is very sensitive, I do not believe that it is feasible to have septorhinoplasty performed with strictly local anesthetic. The purpose of osteotomies would be to achieve a narrower and straighter nasal appearance. The purpose of septoplasty may be to help you breathe better through the right side of your nose and to harvest grafting material that might be necessary to achieve a straighter nasal appearance. I hope this helps. Sincerely, Dr Joseph

Guler Gamze Eren, MD · Answer

Dear Hasan,Thank you for your question.It seems that you need a septorhinoplasty to address the septal and nasal bone deviation. This will probably help you to breathe better. Nasal deviation can be corrected by breaking the bones and this procedure should be done under general anesthesia.Regards,Dr Gamze, Istanbul

Gene Sloan, MD · Answer

Looking at your photos it certainly appears you will need osteotomies to straighten the nose. It will require straightening of the septum as well as straightening of the nasal bones, middle vault, and tip. I perform all rhinoplasty under general anesthesia. There are many rhinoplasty surgeons who perform rhinoplasty with heavy sedation. If your heart and lungs are in good shape you should not have any reservations about having a general anesthetic. Postoperatively you should not expect your nose to look exactly the same from each angle. But you should expect a lot of improvement in your breathing and nose appearance. You are a good candidate for septorhinoplasty.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question I recommend you srp for get rid of this image and breathhig problems, this operation is not possible with local anesthesia, general anesthesia is the best method for both patient psychology and surgeon.
It would be better face to face consultation.
Best Regards!

Gary M. Horndeski, MD · Answer

You need a rhinoplasty and septoplasty to correct the deviated septum.  This has to be done under general anesthesia because the bone has to be cut.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, your nose can be straightened with osteotomies, septoplasty, and spreader grafts. This should be done under general anesthesia. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty, In your case you definitely need to break the nasal bones in order to straighten the nose. Additionally, you would need a septoplasty and something called spreader grafts to straighten nose, and also would make breathing much better for you. I highly recommend general anesthesia for rhinoplasties as the airway is protected.  I believe that performing rhinoplasty under local anesthesia or sedation is dangerous. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

William Portuese, MD · Answer

The photographs demonstrate crooked nasal bones, a concave upper lateral cartilage, and asymmetric nasal tip cartilages. You also have some degree of facial asymmetry as well. A closed rhinoplasty approach can accomplish straightening the nose by performing osteotomies in the nasal bones, and placement of a spreader graft underneath the concave upper lateral cartilage on your right side. Asymmetric tip surgery will also need to be performed to give the tip more symmetry. There is no perfect nose, just significant improvements. A septoplasty can be performed if there is a deviated septum present blocking your airway. Both septoplasty and a rhinoplasty can be performed simultaneously under one anesthesia with one recovery.

Does my nose bone need to be broken for straightening the nose? (Photos)

Answers (11)

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