Which rhinoplasty technique would be best for my deviated, asymmetrical nose? (photos)

Question

My nose is deviated to the left, 80% stuffed on right nostril, looks bigger and wider from the right angle, but seems okay fronm the left. What kind of rhinoplasty do i need? The tip, breaking the bone?

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for rhinoplasty. The nose can be straightened (yes, using ostiotomies), while improving your breathing at the same time. The tip can be refined at the same time to match the new bridge. Be sure to see a rhinoplasty expert for consultation.

Eric M. Joseph, MD · Answer

If your goals are to have a straighter and narrower nasal appearance with correction of a deviated nasal septum, please consider meeting with several reputable rhinoplasty specialist who have an otolaryngology background. Computer imaging is also helpful for establishing goals. I hope this helps. Sincerely, Dr. Joseph

Ajaya Kashyap, MD · Answer

Thank you for your query. I would recommend a piezoelectric rhinoplasty which can restore symmetry with  precision and less postoperative swelling. A CT scan is needed before the procedure to fully assess the situation. Please find an experienced, board certified Plastic surgeon who can examine you and help you with all your concerns. all the best!

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. Septoplasty and spreader grafts can also be performed at the same time to help straighten your nose and improve breathing. 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

William Portuese, MD · Answer

A closed rhinoplasty technique can accomplish straightening and improvement of your nose, which is much less invasive than an open rhinoplastic technique. You will need a full closed rhinoplasty to straighten your nose since the entire nose is crooked. Osteotomies placed in the nasal bones accomplish straightening the nasal bones. You'll also require a cartilage spreader graft placed on your right side underneath the concave upper lateral cartilage. Asymmetrical tip surgery will also help improve the crooked nasal tip that you have. There's no perfectly straight. nose, just significant improvement, so it's best to have realistic expectations. You may also need a septoplasty if you're having breathing difficulties out of your crooked nose. Septoplasty is usually billed to the patient's medical insurance once a physical exam of the internal portion of the nose has been completed in addition to pre-authorization for medical necessity with your medical insurance plan.

Robert Singer, MD · Answer

Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty and septoplasty. What would be the best option and exact procedure would depend on an examination and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on very limited photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS)  that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

Mats Hagstrom, MD (license on probation) · Answer

I suggest scheduling a few in person consultations with plastic surgeons in your community who have a struggle reputation for rhinoplasty surgery.
And assessment Wood include an intro nasal examination to see if you have deviation of your septum.
If that’s the case, the septoplasty in conjunction with Fracturing of your nasal bones could help set your nose so that it does not lean towards your left side.
The human face is asymmetric by its very nature on all people.
It’s not just your nose that’s a symmetric but so is the rest of your face.
It’s important to see Things in context surrounding areas.
I don’t see a strong indication for correcting your nose, but it’s the same time. It’s not wrong to do so.
Accepting baseline asymmetry as being relatively normal and common can sometimes be sufficient.
The human brain is accustomed to seeing a symmetry as being normal.
This is why you don’t see other people around you as having facial symmetry.
All people have it, but we usually don’t notice it.
Best,
Mats Hagstrom MD

Which rhinoplasty technique would be best for my deviated, asymmetrical nose? (photos)

Answers (7)

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