The Twisted Nose

Question:
My nose is crooked, what do you do during rhinoplasty surgery to fix it?

Answer:
The twisted nose is one of the more technically challenging problems in rhinoplasty, requiring an experienced and skillful rhinoplasty surgeon. In the hands of an experienced and skillful surgeon, significant improvement is usually possible. Sometimes the nose can be made completely straight; however, the patient should expect some deviation to persist.

The techniques used in each case depend upon the reasons for the twisting of the nose. The nose can be thought of as being divided into an upper third, middle third and lower third (tip). The upper third is essentially the bony portion of the nose, the middle third is essentially the cartilaginous bridge of the nose, and the lower third is the tip of the nose.

Each part of the nose must be carefully analyzed by the surgeon for any deviation. Depending upon the nature of the deviation in each part of the nose, different techniques will be selected. A "game plan" is put together for the entire nose that takes into consideration the interaction of all the "parts." Thus, a simple plan is undertaken for a simple deviation, while a complex deviation may require a complex surgical plan.

If the nose is twisted because of the upper, bony portion of the nose, Dr. Becker will need to "break" the nasal bones and re-orient them in a straighter position.

If the nose is twisted because of a twist in the tip, Dr. Becker would perform "tip-plasty" and use a variety of maneuvers to make the nasal tip cartilages and the nasal tip sit straighter.

Ask Dr. Becker a question or arrange an appointment for a nose surgery consultation by calling 856-589-NOSE (6673) or emailing us at info@therhinoplastycenter.com.

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