Fundamental Aesthetic and Functional Improvement for a Crooked Nose (Nasal Obstruction, Rhinitis, Headaches, etc.)

The nose is located at the center of the face, helping to create overall facial balance.

If the nose is crooked, the entire face can easily look unbalanced, creating the impression of facial asymmetry. In most cases, a crooked nasal bridge is caused not by congenital factors but by acquired factors such as trauma, and the nasal bone often becomes fixed in a crooked state, twisted into an S-shape or C-shape.

A crooked nose is not only unattractive in appearance,

but it can also cause severe self-consciousness and become a source of stress. If the nose remains crooked for a long time, functional problems such as chronic rhinitis or nasal obstruction are not uncommon, so it is a condition that may also require improvement through surgical treatment for health reasons.

The nose is made up of four parts: the nasal bone, the upper lateral cartilage, the tip cartilage (alar cartilage), and the septum. Since nasal deviation can appear in all four areas, the scope of surgery varies depending on which part is bent and how severely.

*What is the septum?

It refers to a wall-like structure standing vertically in the center, dividing the space inside the nostrils into two. Both sides are covered with mucosa, and cartilage is located in the middle.

JW Jungwon’s method for correcting a crooked nose

First, the camouflage method

When the deviation of the nose is not severe, this is a simple procedure that makes the nose look less crooked by grafting cartilage or dermis onto the area where the left-right slope differs in appearance. Surprisingly, many cases can be corrected with this simple method.

Second, corrective surgery

• Correction for a crooked nasal bone (nasal osteotomy)

This procedure involves vertically cutting along both sides and the central part of the crooked nasal bone to reposition it correctly. It is the most basic surgery for correcting a crooked nose.

• Correction of crooked nasal cartilage (upper lateral cartilage)

This is correction for the crooked cartilage area from the middle of the nose to the tip, and there are various surgical methods to straighten the bent cartilage.

• Correction of the tip cartilage (alar cartilage) or columella (nasal columella)

If the nasal tip or columella is crooked, correction is needed for the structural cartilage in that area, including the tip cartilage (alar cartilage) and the distal part of the septal cartilage.

• Septoplasty

The septum is a wall-like structure dividing the inside of the nose into two spaces, made up of bone and cartilage. It can be described as the pillar inside the nose that supports the bridge. When this pillar is crooked or not straight, it is called a deviated septum; in other words, it is a condition where the inside of the nose is bent. When correcting a crooked nose, it is essential to check whether a deviated septum is present and correct it together.

• Inferior turbinate reduction surgery (rhinitis surgery)

If the nose is crooked and there is nasal obstruction, and the cause is hypertrophy of the inferior turbinates (rhinitis), the condition can be corrected with inferior turbinate submucosal resection or radiofrequency reduction surgery to widen the nasal passage and improve rhinitis symptoms.

• Nasal valve reconstruction

In addition to the septum and inferior turbinates, the nasal valve is also involved in nasal function. The external nasal valve is formed by the cartilage in the alar area and the columella, while the internal nasal valve is the narrow space between the lower border of the lower lateral cartilage and the septum. The nasal valve consists of the external nasal valve and the internal nasal valve, and abnormalities in either can cause nasal obstruction.

Not only in crooked nose correction, but also in secondary nose surgery, it is very important to identify and correct nasal valve problems.

When crooked nose surgery is needed

01 When the nose is crooked and the face looks unbalanced

02 When the nose is not severely crooked, but there is nasal congestion or a nose-related condition

03 When the nostrils are asymmetrical, making the nose look crooked

04 When the implant has shifted after rhinoplasty, causing the nose to look crooked

JW Jungwon Plastic Surgery’s crooked nose correction performs customized surgery to address individual discomforts such as nasal obstruction, rhinitis, and headaches caused by a deviated septum, and focuses on crooked nose correction for fundamental function by correcting not only the external aesthetics but also the internal nasal structure.

In addition, for safer surgery, we perform preoperative 3D-CT three-dimensional analysis, accurate diagnosis and prediction of surgical results through Morpheus 3D, and nose surgery using HD endoscopy.