2022-06-20
Crooked Nose Rhinoplasty: Symptoms and Surgical Differences by Case Improve Satisfaction
Crooked noses can cause various nasal diseases. This article discusses why and how to correct a crooked nose, including different surgical methods for various cases and how to address crookedness after previous rhinoplasty.


A crooked nose can lead to various nasal conditions such as rhinitis or sinusitis.
Therefore, if your nose is crooked, it is advisable to correct it promptly through surgery, not only for aesthetic improvement but also for functional enhancement.
Why a Crooked Nose Needs Correction
A crooked nose is characterized by one side of the nasal bridge being slanted, causing the line from the bridge to the tip of the nose to be distorted into an S-shape or C-shape.
There are many reasons for a crooked nose, but nasal bone fractures due to injury or impact are common.
Such a crooked nose is not only an aesthetic problem but can also cause various functional issues, such as difficulty breathing through the nose, rhinitis, sinusitis, and deviated septum.
Therefore,
- People whose crooked nose is aesthetically unpleasing
- People who frequently suffer from nasal congestion or nose-related diseases
- People with asymmetrical nostrils
- People whose nasal implant is crooked
should wisely consider crooked nose rhinoplasty.
How is Crooked Nose Rhinoplasty Performed?
The most important point in crooked nose rhinoplasty
begins with aligning the twisted axis as much as possible.
The nasal bone is a structure located above the maxilla (upper jawbone).
Therefore, if there is malocclusion where the upper and lower teeth do not meet properly, or if there is facial asymmetry, a crooked nose may occur.
In such cases, where the skeletal structure has been twisted for a long time,
it is difficult to achieve a perfectly straight nose with a single surgery.
Therefore, to achieve safe and satisfactory results,
it is wise to perform the surgery to make the nose appear as straight as possible.
- ▶ Cases of mild crookedness
A well-trimmed silicone implant is inserted into the nasal bridge to visually correct it and make it appear straight.
- ▶ Cases of severe crookedness
In addition to septoplasty, complex nasal surgical methods are employed, such as osteotomy of both the inner and outer nasal bones to reposition them (medial osteotomy or lateral osteotomy), resection of the crooked lateral cartilage, or correction of its position.
The focus is on creating a straight nose without recurrence.
- ▶ Cases requiring lateral osteotomy for crooked nose rhinoplasty and surgical method
The part where the nasal bone and upper jawbone meet is osteotomized to bring the nasal bones together towards the center,
making them straight relative to the median plane.
This also allows for narrowing the width of the nasal bone to create a sharper shape.
Compared to other rhinoplasty procedures,
lateral osteotomy has a longer recovery period and requires more effort in post-operative care.

Surgical Methods for Cases Where the Nose Becomes Crooked After Rhinoplasty
There are also cases where the nose becomes crooked after rhinoplasty.
These include cases of left-right asymmetry, asymmetry due to a deviated septum, or an implant being incorrectly positioned on the nasal bridge.
In such situations, the method of revision surgery varies depending on how the nasal bridge is crooked.
- ▶ Cases of left-right asymmetry of the nasal bridge
Symmetrical correction is performed through lateral osteotomy, which involves osteotomizing the outer part of the nasal bone.
- ▶ Cases of asymmetry due to a deviated septum
The crooked cartilage is straightened to correct the crooked nose.
- ▶ Cases where the implant is misplaced on the nasal bridge
The nasal implant used in the previous rhinoplasty is removed, the space where the implant is inserted is made symmetrically straight, and then a safe implant is inserted.
Rhinoplasty should consider both aesthetic and functional aspects.
It also requires anatomical knowledge of various types of rhinoplasty.
Therefore, it is important to undergo surgery with a plastic surgeon who has anatomical knowledge of the nose, extensive experience with various cases, and a wealth of expertise.
In addition, it is necessary to find a hospital where the responsible medical team systematically manages everything from consultation to surgery and post-operative care.
Since many surgeries involve implant insertion,
it is safer to choose a clinic that uses autologous tissue for a personalized 1:1 primary rhinoplasty, reducing risks and allowing for natural line design, rather than artificial implants that can cause various side effects.
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