Turned away by surgeons because of severe curvature in nose - advice? (photos)

Question

What can be done apparently I have severe curvature in my nose and being turned away from surgeons do you see this being a problem. I know why I would though have this curvature that’s why I want a rhinoplasty to fix it? Will I be worse off if I get one and also? this is a result from tramatic accident I had while kid and left me deformed I really want surgery. This is devasting.

Nima Shemirani, MD · Answer

Hi @doreenashay12! Thank you for sending your photos-- you have an extremely deviated nose. Often times, surgeons will turn these away due to the level of complexity needed to ensure straightness. However, I believe this is achievable. I recommend seeing an expert rhinoplasty specialist for in person examination. There are several options for you that can be determined after examination. A rhinoplasty in my opinion is one of the most difficult procedures to perform. In my practice, I utilize piezosurgery. Piezosurgery is a more gentle technique that allows for greater precision. Less bruising and swelling is common with Piezosurgery. In a typical rhinoplasty, a hammer and chisel technique is performed leading to more inadvertent fractures. Best of Luck, Dr. Nima!

Jeffrey Lisiecki, MD · Answer

Yes, your nose is deviated, as you see. Unless there is something really alarming or really unusual on your intranasal examination, based on your photographs and description there is no clear reason to not do a rhinoplasty. You nose will be straighter with a properly executed rhinoplasty. When there has been a severe deviation for a long time, it is important to know that sometimes the nose does not end up perfectly straight, but still significantly improved from your preoperative state.

Gianfranco Frojo, MD · Answer

This is a standard problem frequently seen in post-traumatic deformities of the nose. A surgeon experienced in rhinoplasty should be able to appropriately counsel you on potential treatment options. A rhinoplasty should be able to improve the deviation, but nothing is absolute in plastic surgery. The goal would be to best straighten the nose and provide a better ability to breathe. You should see a board-eligible or board-certified plastic surgeon with experience or training in rhinoplasty surgery

Jonathan Kulbersh, MD · Answer

Hello, and thank you for your question. Sometimes, it’s simply a matter of finding a qualified surgeon to address your concerns. Rhinoplasty is a very complex procedure, and surgical techniques will vary depending on the surgeon’s knowledge, skill, and experience. Based on your photos, you appear to be a good candidate for rhinoplasty, although a personal evaluation is still best to determine your eligibility.

I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon, particularly one with a strong rhinoplasty portfolio. Such experts will have a deep understanding of the aesthetic and functional elements and have the ability to fix deformities –all while having an eye for symmetry and balance. During your consultation, your surgeon will evaluate your nose, determine your eligibility for rhinoplasty, and ensure the best possible results.

Gerald Minniti, MD, FACS · Answer

I don't know why a surgeon who performs rhinoplasty would turn you away. Of course there are always risks to any procedure and in anyone, but your nose would clearly benefit from a rhinoplasty and septoplasty.

Ronald J. Edelson, MD · Answer

I’m surprised you have been turned down for surgery by several surgeons., you are a good candidate for rhinoplasty but the crookedness will probably only be partially improved.  The  surgeons you have seen may not be rhinoplasty specialists which is why they chickened out

Paul E. Chasan, MD, FACS · Answer

Thank you for your question. You are an excellent candidate for rhinoplasty. I think rhinoplasty 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.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! You definitely can get results from a rhinoplasty for a severely-deviated nose. Some surgeons will turn these away due to the level of difficulty needed to ensure straightening. It is challenging, but not impossible. The nasal bones would need to be shifted and grafts placed to hold the nose in a new, midline position. The forces will want to pull the nose back to the injured side if not done well. If you have breathing trouble, the septum would be addressed at the same time. Seek consultation with a facial plastic surgeon who performs high-level rhinoplasty. Hope this helps!

Akshay Sanan, MD, FACS · Answer

Hi doreenashay12,
Thanks for asking your question and uploading your photos. Twisted noses (like the problem you have) are challenging operations but there are options and you have to understand a realistic outcome for you. Since you've had this problem for many years, your bone and cartilage have memory. The key word for you is improvement. Getting a perfectly straight nose will be very challenging. I recommend you consult with a board certified facial plastic surgeon. I'd be happy to discuss with you. I hope this is helpful. 
All the best,Dr. Sanan, MDAkshay Sanan MD, Facial Plastic SurgeryLos Angeles, CA

Robert Ciardullo, MD · Answer

Can your crooked nose be improved? While it is difficult to make a full assessment based only on a few photographs, your nose seems to be only mild to moderately deviated. I and many other surgeons have done noses that were far more crooked than yours who had significant improvement with a combination of rhinoplasty and septoplasty you should see someone who specializes in rhinoplasty and does exclusively nasal surgery. For such a surgeon your nose will probably not present a prohibitive challenge at all. Meanwhile you should not feel so self-conscious about it, there are noses that are far worse and you really look fine.

Turned away by surgeons because of severe curvature in nose - advice? (photos)

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