Q. Worried About Crooked Nose Surgery, What Nose Surgery Direction Should Be Considered Before Double Jaw Surgery

If your nose appears bent to one side or feels asymmetrical, it often comes with not only concerns about appearance but also a sense of psychological shrinkage. In particular, many people spend a long time blaming themselves, thinking that a small incident or injury they experienced during their growth period was the cause.

However, in reality, a crooked-looking nose is more often caused by internal structural factors rather than simple external impact. In this article, based on a case with such concerns, we will organize an understanding of the causes and what direction is advisable to take.

Q.

I’m very concerned about my crooked nose and would like to ask a question. When I was in middle school and going through puberty, I had a large pimple on my nose and squeezed it, and at that moment I heard a “pop” from my nose once. I didn’t think much of it at the time and moved on, but as I kept touching it because it bothered me, I started to think my nose had become crooked. Now, because my nose looks bent, my confidence in relationships and social life has dropped a lot.

Last year, while going to consultations for double jaw surgery, I looked at the photos taken and was told that my nose was crooked, and that it would be good to combine double jaw surgery with crooked nose surgery. However, the double jaw surgery itself felt too burdensome, so I did not proceed. In a case like this, is crooked nose surgery still necessary?

A.

First of all, it is difficult for the nasal bone to break or become significantly deformed just from the amount of force used to squeeze a pimple. It is rare for the nose structure to be damaged by that level of pressure, and the cartilage is also unlikely to bend immediately. The reason the nose appears crooked on the outside is more likely to be an internal structural issue such as a deviated septum.

If you are planning double jaw surgery, the usual order is to consider crooked nose surgery after the facial skeletal changes, and if you are not having double jaw surgery, it is advisable to first diagnose the current condition accurately and then decide whether correction with crooked nose surgery is appropriate. Since nose deviation can be connected not only to appearance but also to functional aspects, if necessary, you may consider correcting the structure through crooked nose surgery.

Thank you.

#CrookedNoseSurgery

This image was used with the model’s consent.

For an accurate assessment of the condition, photos were taken from multiple angles. In the front-facing photo, the deviation to the right side relative to the center line of the nasal bridge was clearly visible.

This is one of the representative types in which crooked nose surgery is considered. It was said that the asymmetry had been the most noticeable issue every time looking in the mirror for a long period of time, and after 충분한 고민, the decision was made to proceed with correction.

This image was used with the model’s consent.

The tip of the nose also needed improvement. It was not excessively thick, but because the cartilage was spread apart, the tip looked wide and splayed. To address this, tip cartilage binding and osteotomy were performed together to refine the line and gather the spread cartilage for a more refined shape.

In addition, the part that appeared to droop downward was balanced by adjusting the depressor septi nasi muscle. The nasal bridge height was sufficient, so the direction was set as a non-implant method without using a separate implant. This was a suitable approach for pursuing a natural change while reducing unnecessary use of foreign material.

This image was used with the model’s consent.

Looking at the before-and-after comparison photos, the change is clearly visible. The uneven line of the nasal bridge was smoothed out and connected gently from beginning to end, and the overall impression was also more neatly defined.

The difference is also visible in the 45-degree side view. The nostril line was refined much more smoothly than before, and there was a positive reaction to the changed appearance. Crooked nose surgery is not simply about changing the shape; it can also affect the balance of the entire face.

This image was used with the model’s consent.

The improvement was even more clearly visible from the side profile. Previously, the mouth appeared relatively prominent, but after correction, the nose line became stable and the balance with the lips naturally harmonized.

Because the nose occupies a large visual portion, even small corrections can make a big difference to the overall balance.

This image was used with the model’s consent.

A wide nostril base does not necessarily mean that nostril reduction is the only solution. In many cases, as in this example, meaningful improvement can be achieved with tip cartilage binding alone. It is important to sufficiently review methods that suit each person’s structure.

In this change, the effect of crooked nose surgery in correcting the visibly bent area and the effect of bulbous nose surgery in softening the splayed appearance were both confirmed at the same time. The result of tip cartilage binding, which achieved a natural correction, also showed positive changes.

This image was used with the model’s consent.

This case summarizes the process of improving a crooked bulbous nose. I hope it serves as a reference for those considering nose surgery.

A post worth reading for reference about concerns over a crooked nose

It is "Q. For crooked nose surgery, asymmetrical nose complex, is nose surgery covered by insurance?"

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