Does Correcting a Crooked Nose Improve Facial Asymmetry?

noselab
2024년 6월 21일
3분 분량

최종 수정일: 6일 전

Facial asymmetry is common—almost everyone has it to some degree. However, when the imbalance becomes more noticeable, it can affect the harmony of the face.

Today’s patient had visible facial asymmetry and a crooked nose that bent to the right side. The left side of the face, including the eyebrow, eye, nasal alar, lips, cheekbone, and chin, appeared slightly larger than the right.

Preoperative Analysis of Facial Asymmetry and Nasal Deviation

Frontal preoperative design photo showing nasal deviation and facial asymmetry with midline markings before crooked nose correction.

Frontal view photo before surgery

Seen from the front, the parts from the nose bridge all the way to the nosetip were bending to the right following an oblique line, the nasal alar was big on the left and smaller on the right. Also, the nose tip was blunt and wide, as well as having nostril asymmetry.

Side preoperative design photo showing droopy nasal tip, mild dorsal hump, and protruding mandible before crooked nose correction.

Side view photo before the surgery.

On the side, the nose tip was droppy, and the mandibule was protruding, which gave a lantern jaw appearance. The nasal dorsum had a slight nose bump, and the glabella looked flat and plain.

Nostril preoperative photo showing asymmetry between right and left nostrils and smaller right alar before crooked nose correction.

Nostril view photo before the surgery

By looking at the photo of the nostrils, and comparing them, we can observe that the right side looks smaller and that there is asymmetry. The alar too is smaller on the right side. The nose tip looked blunt.

Surgical Plan for Crooked Nose Correction

The parts that look diagonally bent form the front ➜ Nasal bone osteotomy to move the nasal bone and the parts of the septal cartilage to the left.
Nostril size difference ➜ Both sides have different skin sizes, so the size cannot be corrected, instead I will make them look similar by correcting the position of the nose tip.
The blunt and wide parts of the nose tip ➜ To fix the bulbous nose, I planned to use the self-rib cartilage to make the nose tip stand up straight and give it a three-dimensional effect.
Droopy appearance on the side view ➜ This part is planned to be corrected through the removal of the nose bump and by using the self-rib cartilage in the nose tip.

Before and After Results

Before and After Surgery Photos. Before surgery (left), after surgery (right)

The droopy and blunt nose tip appearance from the side view has been improved significantly, and as the nasolabial angle became wider, it gave the effect of a smaller lower jaw.

The nose bridge and the nose tip were raised altogether, and the three-dimensional effect was increased, making the face look smaller, and giving him an overall natural and refined appearance at the same time.

The nose tip that was bending to the right side was definitely corrected and the right part of the nasal alar that appeared to be smaller was also improved.

The blunt and wide appearance of the nose tip improved significantly.

90° angle | 45° angle | Frontal view. Photos taken after the surgery with the consent of the patient.

Postoperative nostril photo showing improved nostril symmetry and corrected nasal tip after crooked nose correction.

Medical Perspective on Facial Asymmetry and Nasal Deviation

When treating facial asymmetry, correcting nasal deviation plays a key role.Facial asymmetry can appear in various forms—if the face itself tilts to one side, the nose may also bend in the same direction. In such cases, nasal deviation does not always worsen the asymmetry but must be analyzed in relation to the facial midline.

In crooked nose correction, identifying this midline is essential before repositioning the nasal bone and cartilage.

For patients with noticeable asymmetry, nasal deviation correction can significantly improve facial harmony and confidence.

Dr. Chayoung Kang

Director of Noselab Clinic