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Crooked or Twisted Nose

Fixing a twisted or crooked nose presents one of the most difficult tasks in rhinoplasty. To correct the twist with a natural, straight outcome that appears to be untouched by a surgeon, the patient must select a skilled facial plastic surgeon, specializes in noses.

Under the care of an experienced dexterous surgeon, straightening a nose can be a reality. The task is difficult but not impossible.

When a patient presents with a twisted or crooked nose, 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 three parts including: top third, middle third and bottom third. The top third is bony part of the nose, the middle third is bridge – made of cartilage, and the bottom third is the tip of the nose.

Each third of the nose must be studied to determine the twist. Depending upon severity of the variation in each part of the nose, your surgeon will create a modification plan that takes each part of the nose into consideration. Keep in mind, a simple surgical plan is created for a simple twist and a complex plan is executed for a complex twist. Above all else, to successfully correct a crooked nose, your surgeon must create an accurate plan.

Crooked noses are often due to nasal bones being pushed in one direction or another. Generally, this is due to trauma. Controlled breaks of the nose help to re-position the nasal bones into a non-crooked line.

Although many patients seek surgical repair for crooked noses because they are self-conscientious, a twisted nasal bridge can impact breathing and airflow through the nose. Many patients with twisted noses are predisposed to sinusitis, nasal or breathing obstruction and chronic congestion.

When a patient presents with a crooked or twisted nose, Dr. Rizk employs surgical techniques that enhance rapid recovery. The first is the use of a 3D telescope. This tool allows for greater precision and smaller incisions. Second, Dr. Rizk uses tissue glues and dissolvable sutures. These eliminate the need for nasal packing. Third, Dr. Rizk shares a technique he pioneered – which is partially closing incisions inside the nose, creating natural drainage. Finally, Dr. Rizk sculpts deeper under the muscle layers of the nose. This reduces the bruising because there are less blood vessels in the deeper layers.

Dr. Rizk’s innovative use of high-definition 3D computer-assisted technology enables him to make smaller incisions and ensure greater accuracy during surgery. Patients who undergo surgery can benefit from a much shorter recovery time – generally five short days versus two long weeks.

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  • Case 1 - Crooked or Twisted Nose - Before and After procedure - front view
    Case 1 - Crooked or Twisted Nose - Before and After procedure - side view

    24 year old female who wanted a straighter nose from the front view and a slightly lower bridge from the profile. Patient did not want much change in her tip. The patient had a collapse on the left part of the nose from an injury and also had a deviated nasal septum to the right. The patient underwent a very conservative rhinoplasty and septoplasty and use of septum cartilage as grafts on the left part of her nose to make it appear straighter. The profile was also lowered very conservatively.

  • Case 2 - Crooked or Twisted Nose - Before and After procedure - front view
    Case 2 - Crooked or Twisted Nose - Before and After procedure - side view

    Male patient, 25 years old had an incredibly damaged nose and could not breathe. There were multiple areas damaged and it prevented airflow. Dr. Rizk administered his procedure using a 3d-open approach with cartilage grafts to correct the collapsed areas. The septorhinoplasty performed corrected his nasal appearance and fixed his breathing issue. These photos represent the patient 2 weeks after the procedure.