High septal deviation ? Is a septorhinoplasty the most favorable solution ? (Photo)

Your nose is slightly crooked but overall looks pretty nice. It’s quite difficult to completely straighten any nose so I’m not sure it’s worth having surgery unless you have bad breathing issues

What is causing your crooked nose and what can be done to correct it? you are correct that the root cause of your crooked nose is a deviated septum. The correction of a crooked nose involves a procedure called a septoRhinoplasty. This can be done either open or closed depending on the experience of the surgeon performing it. Most cases of crooked noses with a deviated septum are congenital rather than traumatic, though the latter is possible if there is a history of significant nasal trauma. sometimes the dorsal portion of the septum deviates in one direction while the base of the septum deviates in the opposite direction so the nose may be crooked to the right but obstructed on the left or vice versa. The septum may be crooked in the vertical or horizontal plane or both. In some cases simply removing a portion of deviated Cartilage is the solution. In other cases grafts must be added in addition to the above. And in yet other cases removing Cartilage, moving Cartilage, reshaping Cartilage, and adding cartilage grafts, may be necessary to make a severely deviated and obstructed nose straight. What would be required in your case could only be determined by a detailed internal examination of your nose. Good luck. Dr. Ciardullo

Hello! Great questions and thanks for your photos. You're right with describing how your septum is causing changes in your nose's shape. Sometimes, prior injuries are the cause. Other times, it's congenital and the way your nose grows. In either scenario, to improve breathing and appearance, a septorhinoplasty is the most ideal procedure. The areas which are deviated and curved can be addressed and a new shape can be obtained. I would seek consultation with a Facial Plastic Surgeon who performs open septorhinoplasties on deviated noses to learn more. Hope this helps!