23.JUL.2019 2 MIN READ | 2 MIN READ

Is your nose bent out of shape? Many are turning to minimally invasive sinus surgery to fix a crooked nose. Read on to decide if a surgical approach is right for you.

What is a crooked nose?

Everyone’s nose is different, but a crooked nose is one that doesn’t follow a straight, vertical line down the centre of the face. From the side, the nose appears “hooked”. Some crooked noses are hardly noticeable, others are more obvious, depending on the cause of the condition. Although usually just a cosmetic concern, a crooked nose could affect your breathing.

Causes of a crooked nose

Causes
Within the complex system of bones, cartilage, and tissue that make up your nose, a C-, I-, S-shaped or “hooked” nose is usually the result of:

  • Birth defects
  • Injuries, such as a broken nose
  • Severe infections
  • Tumours

Consult with your doctor to find out what is causing your nose to appear crooked. Very often, you may be diagnosed with a deviated septum where the internal “wall” of your nose that separates the left and right nasal leans to one side, partially blocking the nasal passage. Although some people are born with this condition, it can also be developed following an injury.

Can I fix my crooked nose without surgery?

Whatever solutions you may find online for non-surgical treatments, the reality is that you can’t change the shape of your nose permanently without surgery. Some may consider camouflaging the asymmetrical appearance of the bones and cartilage by filling in the soft tissue areas of your nose with injectable material, such as soft tissue fillers. As these fillers may present side effects, discuss this option carefully with your doctor before deciding if it is the right treatment for you.

Surgical options

While fillers can help to improve slightly crooked noses, surgery is typically required for more severe cases.

Rhinoplasty

Rhinoplasty
This surgical option can be performed under general or local anaesthesia and can range from minimally invasive to more extensive surgery depending on the extent of correction required. The surgeon will make small cuts between or inside your nostrils, then separate your skin from your cartilage or bone. Your surgeon will then reshape the nose by adding or removing skin, cartilage, bone, or all three.

Septoplasty

This surgical option helps to straighten a deviated septum and relieve nasal airway blockage. Pain is usually minimal and nasal packing is typically not required.

Preparing for surgery

Your surgeon will review your medical history and conduct a physical exam to see if you are suitable for surgery. You will be advised not to take any blood thinning medication such as clopidogrel or aspirin for 1 week before your surgery.

Recovery from surgery

Recovery
As the surgery is performed as day surgery, you usually can get discharged after a few hours of rest post-operation. Make sure you get someone to pick you up as you will not be allowed to drive.

While recovering over the next 2 weeks, avoid:

  • Blowing your nose
  • Excessive chewing
  • Facial expressions that require excessive movement (laughing)
  • Painkillers containing ibuprofen or aspirin
  • Physical contact with your nose
  • Smoking
  • Strenuous physical activities
  • Swimming

 

Article reviewed by Dr Kenneth Oo, ENT specialist at Mount Elizabeth Hospital

Reference

Rhinoplasty. Retrieved 18/06/2019 from https://www.healthline.com/health/rhinoplasty

How Can I Fix a Crooked Nose? Retrieved 18/06/2019 from https://www.healthline.com/health/crooked-nose

Rhinoplasty. Retrieved 18/06/2019 from https://www.mayoclinic.org/tests-procedures/rhinoplasty/about/pac-20384532

Erin’s story and photos. Retrieved 18/06/2019 from https://www.mayoclinic.org/tests-procedures/rhinoplasty/before-and-after-gallery/patient-1-before-and-after-photos/gnc-20179204

You Broke Your Nose – Now, What Do You Do? Retrieved 18/06/2019 from https://blogs.webmd.com/from-our-archives/20091026/you-broke-your-nose-now-what-do-you-do

23.JUL.2019
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Oo Kian Kwan Kenneth
ENT Specialist
Mount Elizabeth Hospital

Dr Kenneth Oo graduated in 1997 from the Faculty of Medicine, National University of Singapore. He attained his Membership of the Royal College of Surgeons in Edinburgh in 2002. He also completed his Masters of Medicine (Otorhinolaryngology) in 2005 and completed 6 years of ear, nose and throat surgical training in 2009 where he was accredited as specialist in Otolaryngology (ENT). Dr Oo also holds a Masters in Science awarded for his time spent on research in the field of tissue engineering.