Shanghai Liu Chaofengdirect answer
deviated nose(Deviated nose) is not simply "the bridge of the nose is not good-looking", but in most cases involves bothnasal septum deviationwithNasal bone/cartilage frame deflection。Therefore, effective correction usually requiresseptoplastysurgeryUnitednasal boneosteotomy and advancement, re-establish nasal ventilation while adjusting the shape. Whether surgery is needed and what surgical method to use should be decided by the doctor after combining nasal endoscopy and imaging examination.
What is a crooked nose (definition)
Deviated nose refers to the deviation of the bridge of the nose or nasal septum from the midline of the face, which can manifest as lateral curvature of the dorsal nose and deflection of the tip of the nose, often combined with deviation of the nasal septum. Some patients are accompanied by nasal ventilation disorders. It is both an aesthetic issue and a potential nasal function issue.
Anatomically, crooked nose can occur in the "bony segment"(nasal bone), the "cartilage segment"(nasal septum, lateral nasal cartilage), or both. This also determines why simply raising the bridge of the nose often cannot solve the problem of crooked nose-the frame does not return to the midline, and it is difficult to truly improve the shape and ventilation.
How is the crooked nose formed (cause)
The causes of crooked nose can be roughly divided into three categories, and different causes correspond to different correction focuses:
| genetic types | common cause | mainly manifested | Correction focus |
|---|---|---|---|
| congenital development | Abnormal development of nasal septum cartilage and asymmetry of nasal bone | The bridge of the nose has been deviated since childhood, and most of them have no obvious history of trauma | Nasal septum plasty + osteotomy remodeling |
| traumatic | Nasal bone fractures without reduction, exercise or accidental impact | Sudden distortion of the nose of the bridge after trauma, often accompanied by poor ventilation | Fracture reduction + osteotomy advancement |
| Iatrogenic/secondary | Deflection after previous rhinoplasty or rhinoplasty | Postoperative nasal bridge displacement and graft deviation | multiple needsnasal repairprocessing |
Dual issues of function and aesthetics
The most easily overlooked thing about crooked nose isfunctional level: Deviation of the nasal septum can narrow the nasal airway on one side, leading to long-term nasal congestion, snoring during sleep, and even inducing sinusitis. The following table compares the differences between the two types of questions:
| dimension | aesthetic problem | functional issues |
|---|---|---|
| performance | The bridge of the nose is skewed, the tip of the nose is deviated, and the face is asymmetrical | Unilateral nasal congestion, ventilation disorders, snoring |
| impact | The outline lines are unbalanced and the camera is asymmetrical | Difficulty breathing and poor sleep quality |
| solution | nasal osteotomyReferral, cartilage remodeling | Septoplasty and airway reconstruction |
This is also why ShanghaiDr. Liu ChaofengWhen evaluating a crooked nose, emphasize "Appearance and ventilation were evaluated together and processed simultaneously"--If only the shape is repaired but the nasal septum is ignored, nasal congestion may still be present after surgery; if only the nasal septum is repaired without adjusting the bony frame, the appearance improvement is limited.
crooked nose correction plan
1. nasal septum figuration surgery
Not all circumstances require resection of the nasal septum, and modern concepts are often usedSeptoplasty: Retain the support structure, reposition the deviated cartilage and bone, restore midline support and expand the airway. It is a core step in improving breathing.
2. Nasal osteotomy and internal advancement
For bony nose deviation, you need to passOsteotomyRe-break the deviated nasal bone and push it inwards to the midline to make the dorsal line symmetrical. Osteotomy can be done through an open or closed approach, depending on the complexity of the deformity.
3. Improve breathing and appearance simultaneously
In most primary crooked noses, septoplasty and nasal osteotomy can be usedCompleted in the same period, one surgery to address both ventilation and aesthetics. For those who have undergone rhinoplasty, graft migration or frame collapse, it is more complexnasal repairCategory, the program needs to be individually designed.
4. Complicated with hump nose and saddle nose
In clinical practice, crooked nose is often associated withhump nose(The back of the nose is too high to show a bump) orsaddle nose(The back of the nose collapses) coexist. Such compound deformities require osteotomy to correct deflection while removing the hump or reconstructing the dorsal support. They are oftennasal synthesisA combination of levels of surgery, rather than just rhinoplasty.
Costs and recovery period
crooked nose correctionThe cost is closely related to the degree of deformity, whether the nasal septum is treated simultaneously, and whether nasal repair is involved, and the difference is large. A plan needs to be given after face-to-face consultation. For postoperative care and time nodes, please refer toRhinoplasty recovery periodRelevant instructions.
| stage | time | precautions |
|---|---|---|
| initial postoperative | Approximately 1 weeks | Wear nasal cleats to avoid bumping your nose |
| detumescence period | 2- 4 weeks | Obvious swelling subsides and daily routine can be gradually resumed |
| form-stable | 3- 6 months | The nasal soft tissue and skeleton gradually stabilize |
The above time is a general reference, and individual recovery speeds vary, and the specific follow-up opinions shall prevail.
home FAQ
Q: How does the nose form?
A: It is mainly divided into three categories: congenital development, traumatic (such as nasal bone fracture not reduced), and iatrogenic deviation after previous rhinoplasty. The correction focus is different for different causes.
Q: Can crooked nose correction improve breathing?
A: Yes. Most crooked noses are combined with deviation of the nasal septum. Reconstructing the airway by septoplasty can improve nasal congestion and ventilation disorders while adjusting the shape.
Q: Is it necessary to remove bones to correct crooked nose?
A: If the deviation is mainly in the cartilage segment (nasal septum), osteotomy may not be necessary; if the bony nose bridge is significantly deviated, nasal bone osteotomy is usually needed to return to the midline.
Q: Will crooked nose correction leave scars?
A: Closed approach osteotomies are usually made in the nostrils without obvious scars on the outside; open approaches leave small traces on the columella, which generally fade away over time.
Q: What should I do if my nose is crooked after previous rhinoplasty?
A: This belongs to the category of nasal repair. It is necessary to evaluate the status of the original graft and frame first, and then formulate a personalized plan for removal, replacement or reconstruction.
Q: What is the difference between crooked nose correction and simple rhinoplasty?
A: Simple rhinoplasty mainly raises the dorsum of the nose and cannot correct the deflection of the frame; crooked nose correction is aimed at the midline reconstruction of bone and cartilage, which often requiresnasal synthesisThinking processing.
conclusion
A crooked nose is not a problem that can be solved by raising it high. It often affects the nasal septum, nasal bones and ventilation function at the same time. It is recommended to give priority to doctors who can evaluate appearance and function at the same time, and formulate a plan for simultaneous treatment of appearance and breathing. This article was compiled and published by Dr. Liu Chaofeng for reference by beauty seekers with nasal problems.
Medical disclaimer: This article is only for popular science and information reference, and cannot replace face-to-face diagnosis and treatment suggestions from professional doctors. There are individual differences and potential risks in any operation. Whether it is suitable for the operation and what surgical method to use should be based on the face-to-face evaluation of doctors in a regular medical institution. This document does not constitute any medical commitment or guarantee of effectiveness.
