Shave or break nasal bones?

There are different approaches that can produce good results. The choice of the surgical echnique depends on multiple factors including your anatomical findings, desired outcome and the plastic surgeon's expertise and experience.Following the advice from a surgeon on
this or any other website who proposes to tell you what to do without examining
you, physically feeling the 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. I would suggest you find a
plastic surgeon with extensive nasal surgery experience who is certified by the
American Board of Plastic Surgery and ideally a member of the American Society
for Aesthetic Plastic Surgery (ASAPS) or a facial plastic surgeon that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.Robert Singer, MD FACSLa Jolla, California

Usually to straighten a crooked nose, osteotomies are required. This does involve "breaking" the delicate nasal bones during surgery. It is tempting to think that the bones can just be shaved down creating a natural contour but this is rarely adequate especially in cases where the bones need to be cut and reset.

Usually, if the nose is wide and crooked, multiple maneuvers will be required.Find a plastic surgeon with ELITE credentials who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA