Overview

Deviated nose or crooked nose refers to the poor alignment of the nasal bridge. It is both a cosmetic and functional problem. Aesthetically, a crooked nose disrupts the balance of a person’s midface, distracting an observer from the other facial features. From the functional aspect, a crooked nose may cause partial nose blockage, which may further lead to difficulty in breathing and discomfort to a patient.

A crooked/deviated nose is mostly caused by:

• congenital factor, i.e. the patient is born with this type of nose deformity
• acquired due to injury, fracture, accident, rhinoplasty gone wrong, etc.

Often the problem starts at the foundation – the septum. Therefore, a careful endoscopic examination is important to assess the extent of surgery required. Often rib harvest may be considered necessary due to a severely deformed septum, especially those that are acquired from high impact injuries.

How to Treat A Twisted Nose or Crooked Nose?

Correction of a deviated nose is a challenging job and requires exceptional expertise to simultaneously straighten a twisted nose while managing the nasal airway. Some patients also opt for increasing the tip projection while fixing their crooked nose. For this reason, it is imperative to wisely choose the top rhinoplasty plastic surgeons as only the best surgeons are comfortable and familiar with numerous surgical approaches.

The key surgical procedures that are considered to correct a deviated or twisted nose are:

• Camouflage Method: It is the simplest method, which is often used for correcting a slight deviation in the nose shape. This method involves grafting thick skin or cartilage to the affected part of the nose.
• Nose Tip Cartilage: This method is used for fixing curved columella or nose tip by using the cartilage of the respective parts.
• Nose Bone Fracture: In this method, nasal bone is fractured from both the sides in order to modify the affected area.
• Fixing Inferior Nasal Concha: A patient with a curved or deviated nose may develop the problem of nasal obstruction. This is mainly caused by the inferior nasal (nose) concha. To correct this, a rhinoplasty surgeon may make incisions to increase the space within the nose.
• Rhinoplasty Septal Cartilage Incisions: A nasal septum wall comprises of cartilage and bone. An overgrown septal cartilage or any deviation in the septum may result in the curved nose. In order to fix such a deformity, it is imperative to check for a curved or twisted nasal septum.

Implants For Correcting A Crooked Nose

Septal Cartilage:This is a popular implant material frequently used by most rhinoplasty surgeons. However, it may be substituted or replaced by auricular cartilage if the supplies are limited.

Rib (Autologous Costal) Cartilage: Rib graft is often used as an implant material to replace the major support structures of an individual’s nose.

Ear (Curved Concha) Cartilage:It is used for filling the dorsal concavities.

Acellular Dermis: It is used for camouflaging minor variabilities of the dorsum.

Alloplastic materials:such as Gore-Tex are although considered as a user-friendly and safe implant materials, but they are also associated with infection, extrusion, rejection, and subsequent scarring that may cause significant deformity post-surgery.