Nose surgery also known as rhinoplasty is one of the most common cosmetic surgery in all of the world. Rhinoplasty for the crooked nose is also one of the difficult nose job surgery because if a patient has facial asymmetries, it is difficult to make a perfectly straight nose on his/her asymmetric face. On the other hand, it is difficult also because of cartilage which has memory. Although during the operation the nose will be straight perfectly or as much as possible, during the healing time the cartilage may move back toward its primary position. Even with fracturing the bones and a cast as well as placing sutures, the cartilage may move and affect the correction. So if you have a crooked nose and are considering rhinoplasty for some correction, it is important to understand this aspect of your nose job.
A crooked nose can be present because of different reasons such as nasal trauma, deviated septum, and inherent facial asymmetries.
What is a crooked nose?
When a nose doesn’t follow a straight and vertical line down the center of the face called crooked nose which can become in different sizes and shapes. The degree of this crookedness can be very dedicated or more considerable depending on the reason. A crooked nose can cause breathing difficulty further than facial deformities.
Crooked nose causes
Generally, the crooked nose can occur due to two main reasons. One type of crooked nose is caused by an issue within the complex system of cartilage, tissue, and bones including:
- Injuries like a broken nose
- Severe infections
- Birth defects
- Previous nose surgery
Another type of crooked nose is due to a deviated septum. It means the internal wall that separates the left and right nasal passages (septum) lean to one side and blocking one side of the nose. A deviated septum can cause loud breathing, difficulty sleeping on one side and nose bleeds.
Difficulties of rhinoplasty for crooked nose
Against to popular belief that a crooked nose can’t repair by nose surgery, it will be effectively repaired and align by rhinoplasty. But the fact is, although it is a difficult surgery, most of the crooked nose will completely improve or align effectively as the facial asymmetries allow. An expert rhinoplasty surgeon with the best surgical technique can provide the desired result by rhinoplasty for the crooked nose.
In this condition, close rhinoplasty will be applied. In this method, the surgeon makes incisions within the nose then separate the skin from the bone and cartilage. So he/she has access to the underlying structure and can do the correction.
During the rhinoplasty for crooked nose, the underlying framework should be straight as much as possible by repositioning the nasal bones and septum. If it doesn’t work, then the surgeon pushes the nose off center and as the septum will be placed in center the nasal bone deviation will be addressed too.
Insurance coverage for crooked nose rhinoplasty
Usually, most of the insurance companies don’t cover rhinoplasty expense unless there is a functional issue that causes some problems like difficulty breathing. So if your crooked nose causes breathing issue because of the deviated septum, the insurance companies will cover your nose job costs.
Usually, during the consultation session, your surgeon will ask you about your history including recent or past trauma. He/she will check if your nasal bones are displaced or out of alignment or whether you have a nasal fracture and what cause to crock your nasal shape. After the initial assessment, your surgeon will decide whether to do a septoplasty with rhinoplasty to straighten a deviated septum as well as to use cartilage grafts in place to open up breathing passage and improve your breathing.