It is not unusual to have a crooked nose when viewed face on. This may be from a previous fracture or other trauma, it may be just the way one's nose developed as one got older. This can also be accompanied with a significant deviation of the septum, that is the plate that divides the right side of the nose to the left side of the nose internally. The septum is made up of cartilage in the front part and it becomes more bony in the back part. It is also sandwiched between specialized skin called septal mucosa. When a procedure is performed to correct both the septum which can improve breathing and also help straighten the nose, and also the outer contour of the nose is changed, it is called a septorhinoplasty. It is very common for rhinoplasty plastic surgeons to perform this procedure. One must note that although the objective is to create a perfectly straight nose with a straight septum, this cannot be achieved in all cases. Part of this is due to the nature of healing which can take up to a year in a nose. The scar formation and resolution phase of healing can cause internal tensions that can slightly change the shape. Also, if one has a crooked nose, often the internal pieces of cartilage and bone that make up the framework of the nose are different from the right side compared to the left side, often this cannot be assessed unless in the operating room. Bottom line-one can expect significant improvement or complete correction of asymmetry and also improve one's breathing.
