Rhinoplasty For Twisted Nose
We performed open technique septorhinoplasty operation on a male patient with crooked nose deformity due to previous nasal trauma. Micromotor assisted bone shaping and ostrotomy were performed. Pre- and post-operative images of the patient are attached above and below.
A crooked nose can occur due to various factors, including:
Trauma: One of the most common causes of a crooked nose is a past injury or trauma to the nose. This can result from sports accidents, falls, car accidents, or any other incident that causes the nasal bones or cartilage to shift or become misaligned.
Developmental issues: In some cases, a crooked nose may develop during the growth and development of the facial structures. Asymmetrical growth patterns or abnormalities in the nasal bones or cartilage can lead to a crooked appearance.
Genetic factors: Certain individuals may be genetically predisposed to having a crooked nose. Inherited traits and characteristics can affect the shape and alignment of the nasal structures, leading to asymmetry.
Nasal fractures: Fractures to the nasal bones, whether from trauma or sports injuries, can result in a crooked nose. If the fractures are not properly aligned or healed, they can cause the nasal structures to become misaligned. As in the patient I shared with you here, previous nasal trauma may cause crooked nose.
Previous nasal surgery: In some cases, a crooked nose may be the result of previous nasal surgery. Poor surgical technique, inadequate healing, or complications from a previous rhinoplasty procedure can contribute to asymmetry in the nasal structures.
It's important to note that a crooked nose can also be accompanied by functional issues such as difficulty breathing or nasal obstruction. Consulting with a qualified surgeon or otolaryngologist (ear, nose, and throat specialist) is essential to evaluate the specific causes of the crooked nose and recommend appropriate treatment options.
Why is revision risk high after crooked nose aesthetic surgery?
The risk of revision after crooked nose aesthetic surgery can be relatively high due to several factors:
1. Complexity of the procedure: Correcting a crooked nose is often a complex surgical endeavor. The surgeon must address the asymmetry of the nasal bones, cartilage, and soft tissues, requiring meticulous planning and execution. Achieving optimal results in a single surgery may be challenging, leading to a higher likelihood of revision procedures to fine-tune the outcome.
2. Scar tissue formation: Scar tissue can develop after any surgical procedure, including crooked nose aesthetic surgery. In some cases, the formation and contraction of scar tissue may contribute to asymmetry or affect the final result. Revision surgery may be necessary to address these issues and optimize the nasal appearance.
3. Healing and unpredictable tissue response: Each individual's healing process and tissue response are unique. Despite careful surgical planning and technique, variations in healing can result in unpredictable outcomes, including persistent or new asymmetry. Revision surgery may be required to address these issues and achieve the desired aesthetic goals.
4. Pre-existing anatomical challenges: Some patients with a crooked nose may have underlying anatomical challenges that make achieving symmetry more difficult. These challenges can include structural irregularities, asymmetrical nasal bones or cartilage, or previous nasal surgeries. Revision surgery may be necessary to address these complex issues and improve nasal symmetry.
5. Patient expectations: Meeting patient expectations can be challenging in crooked nose aesthetic surgery. While surgeons strive to achieve the best possible results, individual perceptions of symmetry and aesthetics may vary. In some cases, patients may request revision surgery to further refine or enhance the outcome based on their specific preferences.
It's important to note that choosing an experienced and skilled surgeon with expertise in rhinoplasty and revision procedures can help minimize the risk of revision surgery. Thoroughly discussing expectations, potential outcomes, and the surgical plan with the surgeon beforehand can also help manage expectations and reduce the need for revisions.
Ultimately, the decision for revision surgery should be made collaboratively between the patient and surgeon, taking into account the individual circumstances and desired outcomes. Regular follow-up appointments and open communication with the surgeon are crucial throughout the healing process to address any concerns and determine the appropriate timing and need for revision surgery if necessary.
While there is a symmetrical nose in childhood photos, why does the nose become crooked as it gets older?
The nose can undergo changes and become crooked as a person ages due to several factors:
1. Natural aging process: As we age, the natural process of aging can cause changes in the skin, soft tissues, and underlying structures of the face, including the nose. The loss of skin elasticity and changes in the supporting structures can contribute to the development of asymmetry and crookedness in the nose over time.
2. Trauma and injuries: Accidents, falls, or other traumas to the nose can occur throughout a person's lifetime. Even if the injuries may not have been significant at the time, they can lead to subtle changes in the nasal structures over the years. The cumulative effect of these injuries can result in a crooked nose as one gets older.
3. Nasal bone changes: The nasal bones can undergo changes with age, including thinning, loss of density, or even developing bone spurs. These changes can affect the overall shape and alignment of the nose, contributing to crookedness.
4. Cartilage changes: The nasal cartilage can also undergo changes over time. The cartilage may weaken, lose elasticity, or develop irregularities, leading to a crooked appearance of the nose.
5. Genetics and hereditary factors: Certain individuals may have a genetic predisposition to develop nasal asymmetry or a crooked nose. These inherited factors can influence the growth and development of the nasal structures, becoming more apparent as one ages.
It's worth noting that some individuals may have a naturally asymmetrical nose from childhood, but it becomes more noticeable as they grow older due to the progressive changes mentioned above.
If the crookedness of the nose becomes a concern, there are various treatment options available, including rhinoplasty or revision rhinoplasty. Consulting with a qualified surgeon or otolaryngologist (ear, nose, and throat specialist) will help determine the underlying causes of the crooked nose and recommend appropriate treatment options to address the asymmetry and restore a more balanced nasal appearance.
Does crooked nose get better with massage?
While massage techniques can have some benefits in certain cases, they are generally not considered as a primary or effective method for correcting a crooked nose. A crooked nose is typically caused by structural issues within the nasal bones or cartilage, and these underlying structural problems cannot be corrected through massage alone.
However, gentle massage techniques may be recommended as part of post-operative care following rhinoplasty or nasal surgery. Massaging the nose, as instructed by your surgeon, can help reduce swelling, promote healing, and improve tissue circulation. This type of massage is typically performed with light pressure and specific movements, focusing on the areas that have undergone surgical intervention.
It's important to note that massage alone cannot correct the underlying structural asymmetry of a crooked nose. If the crookedness of the nose persists or is a concern, consultation with a qualified surgeon or otolaryngologist is recommended. They can evaluate the specific causes of the crooked nose and recommend appropriate treatment options, which may include surgical interventions such as rhinoplasty or septoplasty to address the structural issues and achieve a more balanced nasal appearance.
Always consult with a medical professional for personalized advice and guidance regarding your specific situation.
Crooked nose aesthetic price in Istanbul
The cost of crooked nose aesthetic procedures in Istanbul can vary depending on several factors, including the clinic, surgeon's experience and reputation, the complexity of the case, and the specific techniques used. As of my knowledge cutoff in September 2021, the approximate cost for crooked nose aesthetic procedures in Istanbul can range from around $3,000 to $8,000 or more.
However, it's important to note that these prices are estimates and can vary based on individual factors and the chosen clinic or surgeon. Additional factors to consider include pre-operative consultations, anesthesia fees, surgical facility charges, post-operative care, and any potential revision procedures. These elements may or may not be included in the initial cost estimate, so it's crucial to have a clear understanding of the overall expenses.
To obtain an accurate and personalized cost estimate, it's recommended to consult with reputable clinics or surgeons in Istanbul. During these consultations, the surgeon will assess your specific case, discuss your goals and expectations, and provide you with a detailed breakdown of the costs involved.
When considering the cost, it's important to prioritize the qualifications, experience, and reputation of the surgeon. Selecting a skilled and experienced professional will help ensure your safety and increase the likelihood of achieving satisfactory results.
Please note that prices can change over time, so it's best to directly contact clinics or surgeons in Istanbul for the most up-to-date and accurate information regarding the cost of crooked nose aesthetic procedures.
Open technique rhinoplasty is more suitable for crooked nose!
Open technique rhinoplasty is often considered more suitable for correcting a crooked nose. This surgical approach provides better access and visibility to the nasal structures, allowing the surgeon to address the underlying asymmetry and achieve more precise corrections.
In open rhinoplasty, an incision is made on the columella (the thin strip of tissue between the nostrils), creating a small access point. This technique allows the surgeon to lift the skin off the underlying nasal framework, providing a clear view of the nasal bones and cartilage. It enables the surgeon to directly visualize and manipulate the structures, making it ideal for addressing the complexities associated with a crooked nose.
By utilizing the open technique, the surgeon can assess the asymmetry, reposition the nasal bones, reshape the cartilage, and address any underlying structural issues contributing to the crooked appearance. This approach offers greater control and precision in achieving symmetry and balance in the nasal contours.
However, it's important to note that the choice between open technique and other rhinoplasty approaches (such as closed or endonasal) depends on the specific needs and characteristics of each patient. The surgeon will evaluate the individual case, considering factors such as the extent of asymmetry, nasal anatomy, and patient preferences, to determine the most appropriate surgical technique.
Consulting with a qualified and experienced surgeon is essential to determine the best approach for addressing a crooked nose and achieving optimal results. They will thoroughly evaluate your condition, discuss your goals, and recommend the most suitable technique based on their expertise and your individual needs.
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Murat Enoz, MD, Otorhinolaryngology, Head and Neck Surgeon
Address: İncirli Cad. No:41, Kat:4 (Dilek Patisserie Building), Postal code: 34147, Bakırköy - İstanbul
Appointment Phone: +90 212 561 00 52
Appointment Phone: +90 212 561 00 52
Mobile phone: +90 533 6550199
Mobile phone: +90 533 6550199
Fax: +90 212 542 74 47