Why is my nose so crooked on one side? (photo)

Question

I'm 16yrs old, and I've been noticing that my nose is crooked on one side. I sometimes have pain, & a little tickle, itchy feeling.

William Portuese, MD · Answer

The photograph demonstrates a crooked nose, most likely the result of previous trauma. A hump is present and asymmetrical. A rhinoplasty procedure can address shaving down the dorsal hump which is composed of both bone and cartilage. Osteotomies of the nasal bones are required to set the nasal bridge line straight. A cast will then be applied across the bridge of the nose for one week, and expect 2 weeks of visible bruising and swelling for  recovery. You will  also need parental consent up until age 18. For many examples of crooked nose repair in our practice, please see the link and video below

Afshin Parhiscar, MD · Answer

Dear gurrolaAt first glance it appears that you have had a nasal fracture likely from blunt trauma. You should first discuss your concerns with your parents and then perhaps together see a board certified plastic surgeon (or facial) to have your nose assessed and your questions answered.

William Marshall Guy, MD · Answer

Hello Gurrola805,The pictures clearly show you have a nose that is deviated to the left.  It looks like you may have taken a blow from the right side of your nose at some point.  The best option would be to be evaluated by a facial plastic surgeon or a plastic surgeon that focuses on facial surgery.  The important questions will be in regard to previous trauma and difficult breathing.  If your appearance bothers you there are definitely ways to help correct it.  If you have difficulty breathing that can all be addressed at the same time.  I hope this helps and good luck.

Kenty Sian, MD · Answer

Your nose is indeed shifted to the left. Did you injure your nose in the past? Do you have any breathing problems? These are some of the pertinent questions that must be addressed when considering surgery for your nose. Please look for a board certified Plastic surgeon or facial plastic surgeon in your area so that you can be properly evaluated and treated. Good luck.

Richard Chaffoo, MD, FACS, FICS · Answer

Hi and thanks for your question. It's difficult to give you any advice from this single close photo but it does appear that your nose is deviated. I would suggest you see a board certified plastic surgeon who is experienced in rhinoplasty to address your concerns. Best of luck!

Remus Repta, MD · Answer

There are many reasons for nasal asymmetry (crooked nose).  The addition of symptoms such as pain and discomfort is unusual and should be evaluated by a doctor to make sure other issues are not present.  You may want to start by seeing and ENT or Plastic Surgeon for consultation.All the best,Dr. Remus Repta

Arian Mowlavi, MD, FACS (license on probation) · Answer

You can either have a crooked nose from birth or after trauma. Regardless of the cause, your nose can be corrected with an open rhinoplasty.

Fred Suess, MD (retired) · Answer

You may have broken your nose in the past.  It appears that you nasal bones have been moved- especially the nasal bone on the left.

Francis R. Palmer, III, MD (retired) · Answer

The nasal bones are wide and not straight.  This may have been the result of an untreated injury in the past.  The only treatment to correct this is a rhinoplasty to reposition the nasal bones.

Dennis Barek, MD (retired) · Answer

As the nasal bones themselves are crooked, it appear to have been an untreated injury. Small children have small bones and when fractured, it may not be apparent until they and the bones grow larger.A rhinoplasty is needed to correct the nose.

Why is my nose so crooked on one side? (photo)

Answers (10)

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