crooked nose after rhinoplasty surgery is a common complication of rhinoplasty which can effect on the appearance. Less than 5 percent of patients experience this condition that it may be noticeable for them while for some others may not be substantial.

Who may experience twisting after rhinoplasty?

Usually the he risk of minor twist after the surgery mostly occurs for patients who require a substantial degree of tip rotation. The rhinoplasty surgery would be satisfying for patients who consult with surgeon about all possible cosmetic complications before the procedure.

The other possible minor cosmetic complications including:

  • Recurrence of a bump
  • Slight descent of nasal tip position
  • Minor visible irregularities

The reasons for crooked nose after rhinoplasty

Keep in your mind that making a complete straight nose by rhinoplasty surgery is very difficult task even for the most expert surgeons and some deviation or asymmetry after the healing period is still possible. A minor twisting is acceptable and mostly surgeons concern to make frontal view symmetrical, since the incident light casts shadows, and the nose may look asymmetrical.

For this question that what are the reasons of crooked nose after rhinoplasty, there are different explanations as follow:

  • This crooked nose after rhinoplasty may happen because of drifting the nasal bone. Healing period after the nose job is a dynamic process and there will be much changes for nose after the surgery.
  • Gravitation is effective on swelling appearance. It means that the upper part of the back of nose narrowed of the first, swelling of the tip of the nose maintain long time.
  • The crooked nasal septum because of rhinoplasty
  • Inappropriate care after surgery
  • Rhinoplastry always include two different process of surgery on left and right sides of nose. The asymmetry of both side may be due to non-uniform correction in both sides.
  • The severity of scars during the surgery
  • Excessive removal cartilage on one side
  • The major of crookedness and asymmetric of nose is related to the asymmetric swelling of different parts of the nose.

The swelling after surgery is strongly related to the following items:

  • Nasal structure
  • Surgical approach (open or closed/intranasal)
  • Skin thickness
  • Postoperative care

Should I expect a cosmetic complication after surgery?

In most cases there in no need to worry about any asymmetric swelling, it will remove during the recovery time after the cast removal. Major of swelling will remove during the first month after surgery and persistent swelling takes much time to subside after the surgery (Michael R. Macdonald, MD, Bay Area Facial Plastic Surgeon).

Wait for rhinoplasty swelling to subside before judging the results

crooked nose after rhinoplasty

You are wrong if you think you can see the final results after cast removal. As mentioned before, any kind of nose surgery can be associated by swelling which sometimes take one year to completely subside.Within early weeks after surgery, the nose seems completely asymmetric because of swelling. In this level the final shape of nose is not clear. Rarely the surgeon intervention is needed and mostly waiting is the most wisely approach. However, you should discuss with your surgeon about these issues, he can explain your unique anatomy and the technical details of your surgery (Lara Devgan, MD, MPH, New York Plastic Surgeon).



Can surgeons control the crooked nose after rhinoplasty?

Expert rhinoplasty surgeons mostly can predict the risk for twisting after the surgery and then choose techniques to plan for it. For instance, patients who have crooked nasal septum, a columeller strut might be chosen to support the tip rather than suturing the tip to the septum. Sometimes, despite of choosing the best techniques, still there is some degree of crookedness because the result of surgery procedure is not completely predictable.

The final result of surgery can be find around 18-24 months after the surgery.  If you find any crookedness after this times, you can apply for secondary surgery. If the revision surgery applies too early, some new problems may be occurred. For estimating the long time results, five years’ period is needed.

crooked nose after rhinoplasty

Some surgeon suggests injection of fillers to correct the created asymmetry or crookedness after the surgery, but these injections increase the risk of scarring and it decrease the success of possible revision surgery. Permanent filter prevents the subsequent receipt of a smooth contour of the nose. Temporary filter can be absorbed by the body after 8-12 months. The deviation of nasal septum is correctable. In this process, transplantation may be applied.