Correction of the Deviated Nose with Rhinoplasty

 Correction of the Deviated Nose with  Rhinoplasty

The nose, situated at the center of the face, likely plays a vital role in composing the overall image.  Such a nose, if straight and upright, gives a neat and sophisticated image, but if it's off-center and deviated, it can disrupt the harmony and balance of the entire face, often leading to stress due to an unfavorable appearance. Moreover, not only does a deviated nose pose a cosmetic issue, but the bigger problem is that the deviation along with the accompanying internal structural changes can lead to functional issues with the nose, causing breathing disorders or developing into chronic diseases like rhinitis.

As a result, an increasing number of people with aesthetic concerns or functional issues related to a deviated nose are considering deviated nose correction surgery to improve their condition.

Generally, a deviated nose refers to when the nose does not appear straight and aligned when looking at the face from the front, but instead, leans or twists to one side. Most often, noses are slightly rather than severely deviated, and this is usually due to a combination of various causes. Deviated nose correction is a method to straighten the twisted nose by correcting the deviated bone or cartilage, and the surgery varies depending on the location of the deviation.

Such deviated noses may require different correction methods depending on whether the deviation is an I-shaped curve near the eyebrows, a C-shaped curve in the middle of the bridge, or a J-shaped curve at the tip of the nose turning to one side. Furthermore, there can also be noses with a complex S-shaped deviation, where all three of these shapes appear together or in a compound manner.

Deviated nose correction method 

① If the deviation is near the eyebrows (I-shaped)

For an I-shaped deviation near the eyebrows, which often involves asymmetry of the nasal bones, the bones may be cut, or if one side is too recessed, making correction with cutting alone difficult, autologous cartilage or dermis-like soft tissue (non-bone or cartilage tissue) may be grafted to make both sides symmetrical and correct the deviation.

② When the bridge of the nose is deviated (C-shaped)

In cases where the middle third of the nasal bridge is deviated into a C-shape, it involves the lateral cartilages and the septal cartilage, which internally divides the nose from left to right. This curvature can be congenital, due to the septal cartilage in the center of the nose not forming straight, or it can occur due to acquired trauma; the degree of deviation can sometimes be severe enough to be easily visible to the naked eye, leading to a cosmetic complex.

In such cases, the cartilage is skewed to one side, causing a significant tilt in the superior lateral cartilages, thus correction is needed by straightening the septal cartilage and using techniques such as 'spreader grafts' on both sides or trimming the base to even out the length of the cartilage that's shifted to one side. Deviated noses often accompany a septal deviation, which causes nasal obstruction, so such corrections not only improve the cosmetically displeasing curvature but also resolve functional issues like chronic nasal congestion, leading to high satisfaction rates.

③ When the tip of the nose is deviated (J-shaped)

In cases where the final third of the nose is curved into a J-shape, it is common for this to occur in conjunction with a septal deviation, often accompanied by asymmetry of the alar cartilages at the tip of the nose. In such instances, deviated nose correction can be achieved by using septal extension surgery or columellar struts to lift the tip of the nose while aligning and securing both alar cartilages as symmetrically as possible. This method of deviated nose correction not only reshapes the tip of the nose but also corrects the asymmetrical shape of the nostrils.

Considering the external appearance and the internal structure of the nose, deviated nose correction is a procedure of high complexity. Therefore, to improve both aesthetic and functional aspects and to increase satisfaction, it is crucial to proceed with an accurate diagnosis and appropriate correction method based on the location of the deviation. To achieve this, it is necessary to have a thorough consultation with experienced medical professionals who can create a systematic and detailed plan based on an accurate analysis of the individual's facial area, nasal structure, and overall condition. Additionally, it is advisable to choose a facility that offers thorough preoperative examinations like 3D-CT imaging, endoscopic nasal exams, and has a systematic postoperative care system in place to receive the appropriate deviated nose correction surgery.