Would I be suitable for Rhinoplasty / Ultrasonic Rhinoplasty? (Photo)

Question

Hello, I was wondering would I be a suitable candidate for rhinoplasty. I've wanted to do something about my nose for a while now as I had an Injury to it a few years ago. I'm not interested in changing the tip or width or anything I just want the straightness and symmetry back. I do struggle to breath out of my left side since the accident and I just hope there is something that can be done about it. Thanks.

Alan Gonzalez, MD, FACS · Answer

Hello @Considerate955465, thank you for your question. In your case, there are two factors that you described, but both of them are related. A rhinoplasty and the remodeling of the respiratory tract can be combined in the same surgical procedure so that the physical appearance of the nose can be improved and the functionality of the nose can be checked and rearranged at the same time. The best course of action is to consult one or several board certified plastic surgeon for more information. Best wishes! Alan Gonzalez, MD FACS.

Behrad Elmiyeh, MBBS, MRCS, FRCS (ORL HNS) · Answer

Thank you for your questions and for sharing your photograph.
You have a crooked nose which associates with a deviated nasal septum (the cartilage and bone in the nose that separates the nasal passages). Straightening a crooked nose is considered one of the most techniquely challenging surgeries. 
You would require having an open (external) Septorhinoplasty (Septoplasty + Rhinoplasty). Septoplasty to correct your associated deviated nasal septum and to harvest septal cartilage and use it as a graft to improve nasal support and aesthetic appearance of your nose.
I would suggest that you consult with a nasal surgeon (Rhinologist) with expertise in performing complex rhinoplasty and to discuss what you like or dislike about your nose.
The use of manipulated (morphed) digital clinical photography provides a platform for discussion as to your desires and expectations. Such images are not a guarantee of exact results, but a great tool to ensure that you and your surgeon are on the same wavelength.
Only then, you would be able to have a full discussion about the benefits vs risks of your surgery and to make an informed decision.
No surgeon can guarantee a completely straight nose as during the healing process the cartilage and bone that make up the nose can gradually drift back towards where they were before surgery. It is paramount that you have a realistic expectation before proceeding with this surgery.
Best wishes,

Onur Gilleard, MBBS, FRCS(Plast) · Answer

Yes you would be suitable for rhinoplasty. You can have rhinoplasty surgery to only change the asymmetrical bridge of your nose without changing the nasal tip. Part of the surgery would involve fracturing then re-positioning the bones and part of the surgery would involve using spreader grafts for the mid-vault. The latter would also help with breathing. Finally a septoplasty would be potentially beneficial for the breathing if you are found to also have a deviated septum

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