Monday, December 19, 2011

Rhinoplasty for a crooked nose

A crooked nose and/or deviated septum can occur from passage through the vaginal canal at birth, normal pubescent growth, or trauma. It is important to assess the cause of the trauma and what areas of the nose are actually crooked.

If the deviated appearance of the nose was due to trauma, it is important to let swelling subside and allow the nose to “declare” itself in it’s resting crooked appearance. This may take 3-6 months. Next, it is important to note if your crooked nose is due to a deviated septum, crooked nasal bones, or depressed cartilage.

Fixing a crooked nose can be a challenge. This may require osteotomies (controlled fractures of the nasal bones), cartilage grafting, and suturing techniques. I never leave a nose crooked on the operating room table. The nose will always be straight. However, mother nature may not allow the nose to remain straight.

Cartilage has memory. If you slept with your ear pinned forward, it would pop back into place in the morning. The nose cartilage also has memory. However, by utilizing techniques such as weakening the crooked cartilage and strengthening it with straight stronger cartilage grafts and suturing maneuvers, the nose may remain straight.

A crooked nose is the most difficult type of nose to perfect. It is important to seek a rhinoplasty expert with much experience in order to attain the cosmetic outcome you desire.

Dr. Funk is a board certified facial plastic surgeon who performs close to 100 rhinoplasty and revision rhinoplasty procedures per year. He is located in Houston, Texas and sees patients from Memorial, Memorial City, Sugarland, Katy, Clear Lake, Pasadena and Spring Cypress.