Does my nose appear crooked or is that nasal hump? (Photo)

Question

I also experience clear watery fluid that I can’t even stop from running out of my nose at times and would that be for devitum septum

Semih Yildiz, MD, FEBOPRAS · Answer

From the photo, the angled selfie does not allow a reliable assessment of whether the nose is crooked or has a dorsal hump; standardized front, profile, and base views plus an internal examination are needed. A deviated septum more commonly causes nasal blockage than uncontrollable clear watery drainage.

Persistent clear fluid, especially from one side or when bending forward, can rarely represent a cerebrospinal fluid leak and should not be evaluated as a cosmetic issue. Please arrange urgent same-day assessment by an ENT or emergency department, particularly if the drainage is continuous or follows head trauma or nasal surgery. Go to emergency care immediately for severe headache, fever, neck stiffness, confusion, vision changes, or neurologic symptoms. The fluid may need specific laboratory testing and imaging before any rhinoplasty discussion.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. This can also help straighten your nose. 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

Eric M. Joseph, MD · Answer

The best way to assess if somebody has a nasal bump is to view an oblque photo, or a profile photo. Based on your front view, you appear to have a c-shaped appearance with an indentation along your left nasal sidewall. A deviated nasal septum would not cause mucus to run from your nose. If you have concerns about the appearance and function of your nose, please consider meeting with several reputable rhinoplasty specialists so you could see what might be best for you moving forward. I hope this helps! Sincerely, Dr Joseph

Steven M. Denenberg, MD · Answer

It does appear that the tip of the nose drifts off to the left. Most of all of that asymmetry could probably be alleviated in a rhinoplasty, because it appears from this photo that elevating the tip of your nose would be an important part of the procedure, and when we elevate the tip, it gives more opportunities, surgically, to correct asymmetries.

Have to say, it seems that we might want to elevate your tip quite a bit... remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. Those changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. It's much better to not have surgery than to have inexpertly-performed surgery.

Emin Eren, MD · Answer

Hi,Persistant clean watery fluid from nose should be ruled out cerebrospinal fluid (CSF)leak,if you had any nose surgery or trauma before. Rarely CSF can occur spontanously also.For evaulating your nose crookedness better,it is better to see it exactly opposite angle,even it seems slightly tilted.Best Regards

Darryl J. Blinski, MD · Answer

Posting an in action photo and not a front view in good side views very difficult to advise best to repost photos or do a virtual consultation. My assumption would be to do a full rhinoplasty with septoplasty fee $12,000-$20,000. Best of virtual concert with.

Does my nose appear crooked or is that nasal hump? (Photo)

Answers (6)

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