I Am Not Sure What I Need but I Have a Deviated Septum,and One of my Eyebrows Droops and my Lip is Crooked? (photo)

Question

My nose is deviated, that might be covered but when I look up you can totally tell it is crooked, looking at my picture, my face is obviously asymmetrical. Right eyebrow droops (not the eyelid had consult), cant see the right nostril as much as the left, and the right lip is slightly higher than the left. My appearance looks fine from the side but not the front. I look confused if you look at me, but I am making a straight face. Never had any fractures, or Bells Palsy so I am not sure what I need.

	Update:
	Anyways here are pictures I know I have a deviated septum but my ENT said he wants me to get allergy test which I did have tons of allergies but I still can't breathe good, as you will see one side of my nose looks closed off, and looking at me straight you can tell it is crooked but they say septo doesn't change appearance, do I need both?

Tanveer Janjua, MD · Answer

If you can breathe well then a deviated septum is not an issue. If you are more concerned about the crooked nose then a rhinoplasty will help. Your photo does not show a significant deviation (crookedness). The other asymmetries of lip and brow are all within a normal range. Even the best faces in the world have some asymmetry. I am not sure if surgery will be worthwhile for you. I would hold off for now. Regards
	Dr. J
	Disclaimer: This answer is not intended to give a medical opinion and does not substitute for medical advice. The information presented in this posting is for patients’ education only. As always, I encourage you to see your personal physician for further evaluation of your individual case.

Vincent N. Zubowicz, MD · Answer

Correction of a deviated septum was no effect on the outward appearance of your nose and face. It will probably be coupled with pruning of the turbinates to improve airway.

William Portuese, MD · Answer

The only way to diagnose a deviated septum is by examining the internal portion of the nose by a physician. If you're breathing adequately out of Your nose, there is probably not a deviated septum present. Any external deviation of the nose would be repaired with a rhinoplasty, to include osteotomies, spreader grafts and tip work.For more information about nasal surgery please see the link below

Remus Repta, MD · Answer

Hello,

	Thank you for the question and the photos.  A detailed discussion and evaluation would be needed to determine what is the source of your asymmetry and how to best correct it.  It will be important for you to determine what is most important in terms of correction (eyebrow, nose, etc).  There are solutions for almost everything and each solution has advantages and disadvantages so it will be important to prioritize your goals.

	All the best,

	Dr. Remus Repta

Pablo Prichard, MD · Answer

Dear Melissa,

	Thank you for your question and photos.  Unfortunately, I am having trouble seeing all the asymmetries you mention in your photos.  If you can take a clear front facing photo without turning your head in any direction, your concerns my be more clear.  Since, I am having trouble seeing these clearly, I suspect you are your own worst critic and most people do not notice what bothers you.

	Best Wishes,

	Pablo Prichard, MD

Stuart H. Bentkover, MD (retired) · Answer

Rarely does one have a symmetrical face. Changing the position of just one brow or one side of the lip is very hard to accomplish and often does not work out well. From the photos you provided, I really do not see much deviation of your nose. If the septum is deviated and causes a breathing problem, perhaps that can b improved. You should consult someone for an examination.

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