Crooked nose is also known as deviated, bent, curved or twisted nose: means describing the shape of the nose.
It is one of the cosmetic or appearance concerns of the nose for many people. Some people with this problem may also complain difficulty in breathing through the nasal openings and frequent cold etc
- Why noses are deviated or crooked for some people?
- Does this problem produce some nasal functional troubles?
- Do Rhinoplasty/ nosejob of these noses correct/ fix the problem?
- What is the process involved?
- What if they have already undergone surgery but still the problem of deviation exists?
- Does it leave conspicuous scars on the nose?
Following are the detailed answers for the above questions
Causes of the crooked nose deformity are fall or injuries which are noticed some times unnoticed during childhood, surgery on the nose in the childhood i.e. before 14 years of age or just mere growth related or developmental without any surgery or injury. Sometimes the elders in their family may have similar noses.
Most of the people with deviated noses may have frequent cold and nasal blockade; the main reason for frequent cold is deviated nasal septum which commonly associated with twisted noses. Nasal septum is a structural wall that separates nasal cavity in to right and left sides, it is usually a midline structure but sometimes it is bent like C or S causing both functional and shape related troubles.
Crooked nose correction is nothing but bringing the nasal pyramid structure midline by the surgery. The surgery involves straightening of the nasal septum and other bones in to midline and same time it improves the breathing as well as shape.
Only correcting the septum i.eseptoplasty surgery by ENT specialist won’t solve the problem completely perhaps it makes the condition more difficult to correct the external shape. The complete procedure septo-Rhinoplasty involves correction of both nasal septum and external nose shape in one stage. It is 2-3 hrssurgery, performed under anaesthesia, nose will be opened from inside both nasal septal cartilage and bones will be exposed and straightened. Nasal tampon is inserted inside the nose after surgery and external plaster cast is put. A day in the hospital and one week at home is mandatory. One can walk around and perform basic activities even work from home on computer after 48 hrs after surgery. Antibiotics and pain reliving medication will be prescribed for one week.
No need to use long term medication.
Person with deviated nose had septoplasty in the past but again seeking the external nasal shape correction, are called as revision/redo cases. It is possible to do redo correction but they need a septo-Rhinoplasty which is going to be more technically demanding, reason being part of the septum is corrected and there is a cartilage loss in the previous procedure. In these cases we may need cartilage material from other parts of the body to build the nasal structure. I advise you to proceed with the internal and external work same time by a person who is well versed in performing both means the functional and structural aspects of the nose.
Here are some of the patients who underwent septo-Rhinoplasty with good results.
