In this vast world, people come in all shapes and sizes. Yet, nature often presents us with physical challenges—like a slightly crooked nose. While you might not notice it yourself, others certainly do, which can be embarrassing. With technological advancements, rhinoplasty has proliferated, and nose reshaping has become particularly popular.
Overview of the "Crooked Nose Families"
Crooked Type: Also known as simple deviation, this primarily involves a skewed lower nasal cartilage with mild nasal bone deviation. Characterized by the middle-lower nasal bridge leaning toward one side of the midline, with the nasal tip point furthest from the midline. Often congenital or caused by childhood trauma.
Twisted Type: Also known as the C-shaped type. This type of crooked nose is characterized by both the nasal root and tip being aligned on the midline, while the middle of the nasal bridge curves away from the midline in a C-shape.
Crooked-Twisted Type, also known as the S-shaped type: This type is also called complex crooked nose, where the nasal cartilage and bony conus deviate in different directions, forming an S-shaped curve.
Nasal Bridge Correction
Non-osteotomy approaches involve simple adjustments to the nasal bridge for a straighter appearance. Common techniques include nasal bridge cartilage grafting, dermal fat grafting, or filler augmentation.
For excessively high nasal bridges that cannot be resolved by osteotomy, or severe nasal bone inclination, osteotomy followed by nasal reshaping is necessary.When the nasal bone and cartilage tilt severely to one side, a small portion of the protruding, tilted cartilage and bone is first removed using precision surgical blades and an osteotome. The tilted, protruding area is then corrected inward, while the concave portion is moved outward to reshape the nose.
Postoperative Care for Correction Surgery
For nasal bridge augmentation, skin-colored transparent bandages can be applied over the nasal incision site and removed after approximately 45 days. This not only reduces bruising and swelling but also helps stabilize the nasal implant. For other rhinoplasty procedures involving skin incisions, applying cosmetic transparent tape over the incision site is recommended to minimize scar visibility.
Nasal packing can be removed within 1-2 hours post-surgery.
Follow-up Schedule: Return to the hospital on the 4th day after crooked nose correction to remove the tape. Sutures are typically removed after about two weeks. A follow-up visit is scheduled one month post-op. If no other issues arise, the recovery is considered satisfactory.
Indications for Rhinoplasty Correction
Crooked Nose: Correction is often achieved using composite tissue grafting, skin grafting, or simple incision techniques.
Bulbous Nose: Often corrected using autologous cartilage grafting.
Hooked Nose: Indications for rhinoplasty include hooked noses, primarily corrected through two methods: smoothing the transition between protruding bone and cartilage, and elevating the drooping nasal tip to achieve overall contour refinement.
Upturned Nose: Corrected by inserting implants or cartilage into the nasal bridge and tip.
Arrowhead Nose: Corrected through cartilage resection followed by reshaping.
Saddle Nose (Flat Nasal Bridge): Depressions in the saddle nose are typically treated with filler materials.
Hump Nose: Correction can be achieved through bone reduction.
Contraindications:
Individuals deemed unsuitable for corrective surgery based on routine preoperative examinations must not proceed with the procedure.
Patients with acute otitis media or acute pharyngitis during active phase.
Individuals with systemic diseases such as syphilis, diabetes, tuberculosis, or hematological disorders.
Patients with nasal inflammation like acute sinusitis or acute rhinitis; however, surgery may be considered two weeks after inflammation subsides following treatment.
Adolescents under 18 years old whose skeletal growth is incomplete are also unsuitable for rhinoplasty.