1101 MADISON ST #1280 SEATTLE, WASHINGTON 98104 | (206) 624-6200
The Facial Plastic Surgery Center
Dr William Portuese - Board Certified Facial Plastic Surgeon

Rhinoplasty: The Long and Short Story

The nasal bones and septum are typically to blame for the crooked nose. This frequently results in breathing issues as well as cosmetic deformities, which can have an impact on exercise, sleep, and sinus issues. In this area, The Seattle Facial Plastic Surgery Center has conducted a lot of research.

When we say that cartilage has “memory,” we mean that it prefers to return to its previous state. To guarantee that the cartilage stays in its new, straight position, our surgeons employs every technique at his disposal. However, over time, cartilage can warp (bend) on its own. Spreader grafts, strut grafts, PDS foil, and even extracorporeal Septoplasty—which entails removing the crooked piece of the septum and repairing it entirely—are methods used by our surgeons to reduce the degree of change following surgery. Few surgeons in the world are able to perform this sophisticated operation.

Before After Rhinoplasty

Treatment of the Crooked Nose

A crooked nose can take a lot of different forms. The nose is divided into thirds on the outside and on the inside. middle third, bottom third, and top third.
This “Principle of Thirds” helps our surgeons decide how to treat a crooked nose. One of the trickiest procedures in rhinoplasty surgery is correcting a crooked nose.
There are numerous methods currently available to address the malformation of the crooked nose. Surgery patients have a variety of surgical objectives, and it is crucial for the surgeon to comprehend these objectives. While some patients are more interested with the aesthetic result, others are more concerned with the improvement in practical quality. Patients more frequently have both cosmetic and functional issues.

Causes of a Crooked Nose

Congenital (present at birth), traumatic (resulting from an accident), or iatrogenic (caused by prior surgery) factors can all contribute to a crooked nose.
There is frequently a connection between an inherently crooked nose and overall facial asymmetry. Most patients exhibit minor asymmetry in their faces. Prior to surgery, the patient should be made aware of these facial asymmetries and how they might or might not effect their outcome. Congenitally crooked noses can be difficult to treat since it is difficult to locate a common midline because of the surrounding deviation of the internal and external facial framework. Traumatic crooked noses can be caused by a high velocity force or a low velocity force that causes the septum to deviate and produces irregularities in both the nasal bridge and the nasal tip.

Our facial surgeons will conduct a complete physical examination and history during your consultation.
In order to come up with the ideal strategy for achieving the most straight a nose can be, it is crucial to ascertain the cause of the deviation.

Washington Ambulatory Surgery Center Association Washington State Medical Association American Academy of Facial Plastic and Reconstructive Surgery Real Self