Various Surgical Methods for Crooked Nose Surgery

A crooked nose, along with facial asymmetry, is a problem that everyone has to some degree, but a noticeable crooked nose needs correction.

The structure of the nose can largely be divided into three parts: from top to bottom, the “nasal bone,” “upper lateral cartilage,” and “alar cartilage.”

In crooked nose correction, there are different surgical methods for correcting the curved part of each section, so before surgery it is a good idea to check which part of the nose is bent and how.

The structure of the nasal bone, upper lateral cartilage, and alar cartilage in a crooked nose

The upper part of the nose is made up of the hard section called the nasal bone, and the cause of curvature in this area is asymmetry of the nasal bone.

And because the middle part of the nose is made up of the upper lateral cartilage and the septal cartilage, you need to check the left-right width of the upper lateral cartilage and whether there is septal deviation.

Lastly, because the lower part of the nose is made up of the alar cartilage and the end of the septal cartilage, when there is a crooked nasal tip or asymmetry of the nostrils, you should check whether there is asymmetry of the alar cartilage or septal deviation.

Asymmetry of the nostrils. Asymmetry of the alar cartilage. Asymmetry of the nostrils. Septal deviation

“Osteotomy to correct a crooked nasal bone”

Osteotomy is necessary to correct a crooked nasal bone.

Because the nasal bone is a thin bone, it is difficult to correct asymmetry simply by shaving it down.

So the nasal bone must be cleanly cut using a thin osteotome to adjust the left-right asymmetry.

Osteotomy to correct a crooked nasal bone.

And osteotomy can not only align a crooked nasal bone, but is also sometimes used to narrow a wide nasal bone and create a sharper nasal bridge when viewed from the front.

“Spreader grafting to correct a crooked upper lateral cartilage”

To correct the curvature of the middle part of the nose, cartilage grafting is needed, and this is called a spreader graft.

In crooked noses, the left-right width of the upper lateral cartilage is often different, so spreader grafting is needed to widen the narrowed upper lateral cartilage and match the widths on both sides.

Spreader grafting to correct a crooked upper lateral cartilage

Because spreader grafting also has the effect of widening the size of the nasal airway inside the nose from a functional standpoint, it is also called nasal valve surgery.

“Alar cartilage repositioning to correct a crooked nasal tip”

To correct curvature in the lower part of the nose, septoplasty along with alar cartilage repositioning is needed.

Correction of septal deviation and alar cartilage repositioning

A crooked septum causes the nasal tip to be crooked, so the septum must be straightened through septoplasty, and by repositioning the alar cartilage straight onto the corrected septum, the crookedness of the nasal tip can be addressed and the size and shape of the nostrils can be made symmetrical.

“Before and after crooked nose surgery”

Crooked nose surgery review. Nasal bone osteotomy review. Real model with consent for disclosure.

Nasal bone osteotomy review. Septal deviation review. Crooked nose correction review. Real model with consent for disclosure.