Nose Procedures

Crooked Nose Surgery

Crooked nose surgery is performed to repair structural deformities that are either present at birth or acquired later in life due to traumatic injuries to the nasal bone or cartilage. These deformities are addressed by repositioning the septum, nasal bones, and cartilages through controlled osteotomies and other advanced reconstruction techniques that help create a straighter and more aligned structure.

Repairing a crooked nose typically involves complex reconstructive surgery that deals with both the cosmetic and functional aspects of the nose. When done correctly, patients can expect a well-shaped, visibly straighter nose with significant improvements in breathing and other nasal functions.

Reasons to undergo this procedure

A crooked nose can be hereditary or congenital, but it can also be caused by accidents or sports-related trauma. Regardless of the cause, a crooked nasal structure can lead to an asymmetrical appearance and even breathing problems that usually get worse over time.

Undergoing crooked nose surgery helps patients address both the aesthetic and functional concerns that arise from the presence of nasal deformities. Here are some of the issues that can be repaired by this procedure:

  1. Nasal fracture
  2. Septal hematoma
  3. Deviated septum
  4. Collapsed nose bridge
  5. Misaligned nasal structure
  6. Twisted nose

What are the benefits?

Having a properly aligned nose can have a positive impact on your appearance, but it also leaves a more significant impact on your quality of life due to the resulting functional improvements. However, achieving proper nasal alignment is a challenging feat that requires the expertise of a highly skilled rhinoplasty expert.

As a double-board certified facial plastic surgeon with extensive experience in performing cosmetic and reconstructive surgery on the head and neck, Dr. Jacob Sedgh is uniquely qualified to deliver customized treatments that provide patients with superlative, natural-looking results.

Under his care, patients can expect the following results:

  1. Aligned nasal structure
  2. Refined nasal appearance
  3. Improved breathing
  4. Enhanced facial symmetry

The

Initial Consultation

The first step to delivering the patient’s desired results is a successful initial consultation. During this meeting, Dr. Sedgh will carefully examine the internal and external structures of your nose to pinpoint the underlying issues that are causing the misalignment.

If the crooked nose is not congenital or hereditary, it is imperative for the doctor to learn more about the circumstances that left your nose in its current crooked state. This is pertinent information that can help Dr. Sedgh determine the best surgical plan for your specific needs.

Your consultation will involve the following:

  1. An open interview to discuss your surgical goals
  2. A complete assessment of your medical history
  3. A rhinoscopy and other diagnostic tests
  4. Explanation and discussion of important aspects of the procedure

For added convenience, out-of-town or overseas patients can opt to have their initial consultations with Dr. Sedgh conducted via video conferencing. His office also offers comprehensive medical tourism services for those who will need to travel to undergo the surgery.

CROOKED NOSE SURGERY PROCEDURE

Since no two cases are exactly the same, each patient’s crooked nose surgery will involve a uniquely customized treatment plan designed to address the aesthetic and functional issues created by the nasal deformity. Dr. Sedgh may perform septoplasty, septorhinoplasty, nasal fracture repair, reconstructive rhinoplasty, or even a combination of various procedures, depending on the specific structural issues that are causing your crooked nose.

There are two approaches used in performing rhinoplasty: the closed approach and the open approach.

In the open approach, a small bridging incision is made across the partition separating the nostrils to allow the doctor to lift the skin and expose the underlying framework. Additional incisions may be made inside the nose if needed. It is usually used for more complex surgeries as it provides unencumbered visual access to the nasal structure.

The closed approach, on the other hand, only employs incisions made within the nostrils. It is best for simpler cases and offers certain benefits such as shorter recovery time and eliminated risk of visible scarring.

Upon making the necessary incisions, Dr. Sedgh will carefully make the necessary adjustments to repair the crookedness of the nasal structure. Typically, this involves an osteotomy to enable the mobilization of the deviated nasal bones. Using a medical grade chisel, the doctor will create controlled bone fractures before repositioning the bones into a straighter structure.

There are many other techniques designed to specifically address each type of deformity. The doctor may perform resection and replacement with a straight septal cartilage graft for a deformed caudal septum, or use a certain type of cartilage grafting, from various donor sites such as the rib or ear. Some of the common cartilage grafts used include spreader grafts to address internal nasal valve narrowing or collapse, alar batten or strut graft to address the lower nasal sidewalls and external valves, and finally, caudal septal extension graft, which is a more modern grafting technique with robust ability to bring changes to the lower third of the nose.

Once the surgery has been completed, Dr. Sedgh will close the incisions and install a splint to help support the newly formed nasal structure while it heals. This helps maintain the nose’s new shape and structure, thereby safeguarding the integrity of the final results.

RECOVERY

The expected downtime from crooked nose surgery is minimal, and patients are usually allowed to resume their normal activities after a week. However, it is best to wait several weeks before participating in any strenuous activities.

After the surgery, you may notice some nasal congestion, as well as swelling and bruising around the treated area. Dr. Sedgh will prescribe over-the-counter medications and provide detailed post-op instructions to help manage these side effects and facilitate a more comfortable recovery.

Since the postoperative phase is a critical period that will greatly affect the surgery’s final results, Dr. Sedgh always makes it a point to be closely involved in the recovery of his patients. In the interest of promoting a healthy and timely recovery, he provides plenty of guidance and support while diligently monitoring each patient’s progress through regularly scheduled follow-up appointments, beginning on the first day after the surgery up to a year or longer.

Patient Reviews

I don’t think it is an overstatement to say that Dr. Sedgh was a godsend to me for his willingness to do surgery on my nose when several notable surgeons refused to take on the task of correcting the damage that three previous surgeries had done. Dr. Sedgh clearly has an artistic eye as well as a very professional ability at nose surgery. He has earned my trust and respect.

Randy, R.

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