A new technique to correct the crooked nose can be more effective than older methods. This new method allows the surgeon to better diagnose, at surgery, what internal part of the nose is crooked. It also allows for more and better treatment options.
The phrase “crooked nose” is an actual medical diagnosis! This problem is more common in men, perhaps because it is usually the result of trauma as in sports injuries but can simply develop by itself over time. Patients seek consultation for the twisted nose because they feel stigmatized and though most men don’t wish surgery, they often seek consultation with a plastic surgeon and report that “people ask what happened to my nose” and patients usually complain of breathing problems.
The phrase “crooked nose” is an actual medical diagnosis! The crooked nose problem is more common in men. This can usually be traced back to trauma as in sports injuries. It can simply develop by itself over time. Patients seek consultation for the twisted nose because they feel stigmatized. Most men who seek consultation with a plastic surgeon report that “people ask what happened to my nose.” Other patients complain of breathing problems.
The scope of both the cosmetic appearance and breathing issues range in severity. We see mild cases which disrupt facial harmony to severe distortion of the nose with flattening, severe visible curving and collapse of the nose. When the nose collapses, it often causes complete obstruction of nasal breathing. The critical nature of this problem causes abnormal breathing, sleep patterns, speech, and communication. Most noticeable is the detrimental effect on a patients psychological sense of health and confidence.
The nose projects from the face and so is visible to all we first greet and with whom we interact. The structures that can be seen externally and affect appearance are the upper nasal bones and the cartilage of the lower nose. The lower nose is softer and more easily the brunt of nasal trauma. The septum is also easily injured. Though it is not visible directly, can have a significant effect on appearance. It is the primary support for the nose. If it is damaged, it can have a likewise noticeable effect on breathing.
Unlike the nasal bones and moveable nasal tip cartilages, which are better known to the lay public, the nasal septum is a deeper structure. It is not easily seen and can have a profound effect on appearance. It’s injury can affect symmetry and lead to twisting of the nose. The nasal septum is a flat plate that divides the nasal passages. It can be felt by putting the thumb and index fingers into the edge of the nostrils and gently moving the nostrils from side to side. One can then feel a flat plate in the center of the nose that is resisting that movement. That is the nasal septum. This septum goes straight back under the nose. With any trauma, it can easily be damaged. This will lead to a bending or “deviated septum.” Many patients can develop deviation of the septum in the absence of trauma as they move through adulthood.
And because the septum divides the nasal airway passages, it can bend into either or both passages. This leads to blockage in breathing. This obstruction can also make sleeping difficult. Blockages can also affect speech and can even lead to nasal drainage and pain.
Crooked nose surgery can be directed simultaneously to both cosmetic and breathing issues. Regarding the cosmetic aspects, the external nasal bones and cartilage can be realigned. If the septum blocks the airway or produces significant twisting, its repair provides a substantial improvement for both.
The new technique involves lifting the skin of the nose which allows the surgeon to see the deviated septum from the top rather than thru the nostril. This method enables the surgeon to see the septum in its entirety. Because the entire septum is exposed, treatment is more specific and complete.
There are a lot of new techniques aimed at treating the twisted septum. Each can benefit patients and improve their lives. Consult with Dr. Newman, a Board Certified Plastic Surgeon, to discuss your options. You will be glad you have taken the first step in understanding and potentially treating the problem of the twisted nose.