What kind of rhinoplasty would this require?

With a deviated nose, deviated septum, and some irregularities in your bones from trauma, you would need an open rhinoplasty, septal reconstruction, and yes osteotomies to get everything straight and smooth out irregularities. You should be seen in person to be evaluated and find a well-trained surgeon that you like. Best of luck!

Your surgery could be done open or closed you definitely need osteotomies done to narrow the bones. Make sure you select your surgeon wisely. The surgeon needs to be highly experienced

Thank you for your question. The exact type of rhinoplasty would really depend upon a hands on examination. Based on your photographs I believe the cartilage and bone of your nose would need to be addressed, and depending on your difficulty breathing the septum may also need to be addressed. I suspect this would fall within the realm of a standard 'closed' rhinoplasty and you would have an excellent result. However, to discuss the specifics of the operation, you would need to be evaluated and I would recommend you see a board certified plastic surgeon specializing in rhinoplasty. Best of luck to you!

Hi there! There are different approaches to rhinoplasty. One approach is the closed, which involves operating via incisions inside the nose, only. The other is the open approach which involves raising the skin to fully expose the cartilage and bone underneath. When trauma is present, I find it useful to perform open rhinoplasty to fully visualize the damage. Osteotomies are often needed to shift the bones into a more aligned position. Additionally, the septum should be addressed to improve breathing and provide grafting material (cartilage) to keep the nose in a good position. Based on your situation, I would recommend a consultation with a facial plastic surgeon to determine what option may be best in your case.

Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty and probable septoplasty. What would be the best option and exact procedure would depend on an examination and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on limited photos without examining you, physically feeling your 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. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS). If you live outside of the United States, the surgeon should ideally be a member of the International Society of Aesthetic Plastic Surgery (ISAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California

A closed rhinoplasty can accomplish shaving down the dorsal hump, and performing osteotomies in the nasal bones to narrow them after the hump removal. All of the incisions are placed on the inside of the nose. No external incisions are required, and no painful packing is required either.. If your septum is only deviated slightly, and you're not having any breathing difficulties, a septoplasty will not be required.