Deviated Nose Correction

refining the aesthetics and improving nose function

Correcting a deviated nose improves both appearance and function

Candidates for Deviated nose correction surgery include patients:
  • Whose faces are asymmetrical due to a deviated nose
  • Who had a traumatic injury to the nose leading to a crooked nose
  • Who suffer from nasal obstruction but may not have a severely crooked nose*
  • With asymmetric nostrils
  • With a deviated nose after previous rhinoplasty surgery
* Patients who suffer nasal obstruction and undergo surgery for airway problems may be covered by Medisave or Insurance

Correcting a deviated nose improves both appearance and function

Candidates for Deviated nose correction surgery include patients:
  • Whose faces are asymmetrical due to a deviated nose
  • Who had a traumatic injury to the nose leading to a crooked nose
  • Who suffer from nasal obstruction but may not have a severely crooked nose*
  • With asymmetric nostrils
  • With a deviated nose after previous rhinoplasty surgery
* Patients who suffer nasal obstruction and undergo surgery for airway problems may be covered by Medisave or insurance

Septoplasty/ 
Functional Rhinoplasty

Treating both aesthetic and function of the nose is equally important.

Simply treating function with removal of the curved septum might result in a straighter septum and remove congestion. However, the inner nose structure may be weakened and the nose may flatten and collapse, especially if implants are put on and the structure is unable to support it.

Only treating the aesthetic aspect of the nose does not solve any congestion issues. The implant might deviate or recurrence can occur if the septum is not corrected.

It is important to consider both functional and aesthetic aspects to get a good outcome. 

What Structures Can Lead To Nasal Deviation?

Nasal Bone

We have a pair of nasal bones that form the bony vault (upper half of the nose) 

Structural irregularities of the nasal bones due to both (congenital) or trauma (fractures) can lead to deviation of the nose. The correction of this would either require a camouflage procedure or an osteotomy to correct the alignment of the bones.

Nose Cartilage

The lower half of the nose is formed by the Upper Lateral Cartilages and the Lower Lateral Cartilages (nose tip).

Structural irregularities and mis-shapened cartilage can lead to a deviation of the nasal tip




Septum
The nasal septum is a structure that divides the nose and nostrils into two halves. It comprises of cartilage (front half) and bone (posterior half),

The nasal septum is important as a keystone structure that supports the nose and weakening of the septuum can cause a collapse of the nose.



How is Deviated Nose Correction Done

For correcting minor deviations


The camoflage technique is a simple procedure that corrects a slightly deviated nose using diced cartilage or dermal grafts. It does not correct the underlying structural problems but creates an illusion that the nose is straight by filling the defects. The downtime for this surgery would be less as there is no surgery done on the septum. This is only suitable for mild cases or partial correction.




Relocation of the Septum on the Anterior Nasal Spine


Septal deviation can be caused by a septum that is dislocated or too long. Shortening of the septum and relocating it back to its central position will help to create a straight foundation for the nose tip. This is then fixed in position with sutures. 





What are spreader grafts and why are they important?

Spreader grafts need to be straight and stiff. They can be obtained from the septum or rib cartilage.


The curved septum is removed and parts of it is used to form the spreader grafts. Spreader grafts reinforce and straighten the septum, creates straight dorsal lines and a straight profile view aesthetically. 


Functionally, they help to increase the airflow and also prevent the collapse of the nose, creating a firm foundation for augmentation of the nasal dorsum.


How is Deviated Nose Correction Done

Understand the different materials that can be used to augment your nasal dorsum.

For minor deviations only


The camoflage technique is a simple procedure that corrects a slightly deviated nose using diced cartilage or dermal grafts. It does not correct the underlying structural problems but creates an illusion that the nose is straight by filling the defects. The downtime for this surgery would be less as there is no surgery done on the septum. This is only suitable for mild cases or partial correction.


Relocation of the septum on the ANS


Septal deviation can be caused by a septum that is dislocated or too long. Shortening of the septum and relocating it back to its central position will help to create a straight foundation for the nose tip. This is then fixed in position with sutures. 


What is Spreader Grafts and why is it important?


Spreader grafts need to be straight and stiff. They can be obtained from the septum or rib cartilage.


The curved septum is removed and parts of it is used to form the spreader grafts. Spreader grafts reinforce and straighten the septum, creates straight dorsal lines and a straight profile view aesthetically. 


Functionally, they help to increase the airflow and also prevent the collapse of the nose, creating a firm foundation for augmentation of the nasal dorsum.


Getting Deviated Nose Correction Right

01

Identifying functional problems and a deviated septum

Treatment or correction of a crooked nose without identifying the obstruction in breathing will lead to persistent nasal congestion and a dissatisfied patient. Similarly, rhinoplasty without identification of the underlying septal deviation can lead to recurrence or deviation of the final results. 

02

Reinforce the weakened Septum

During the septo-rhinoplasty procedure the curved nasal septum is removed and this would help the septum to be straight. However, this manoeuvre also weakens the structure of the septum and the nasal support. It is important to reinforce this the structure of the nose with cartilage grafts to prevent a nasal collapse. Spreader grafts are use and this will also help to improve the airflow. 

03

Considering facial angles and proportions

Using 3D imaging software we are able to simulate possible outcomes and this will help to better consider the ideal facial proportions to create a symmetrical, natural and sophisticated look.

Hospitalisation

Day Surgery

Anaesthesia

IV Sedation or 
General Anaesthesia

Operation Time

60-120 minutes

Removal of Sutures

5 Days

*Nose packing and use of septal splints will be required after septal surgery. The packs are removed after 24-48 hours and the splints are removed on the 5th day.

Getting Deviated Nose Correction Right

01

Identifying functional problems and a deviated septum

Treatment or correction of a crooked nose without identifying the obstruction in breathing will lead to persistent nasal congestion and a dissatisfied patient. Similarly, rhinoplasty without identification of the underlying septal deviation can lead to recurrence or deviation of the final results. 

02

Reinforce the weakened Septum

During the septo-rhinoplasty procedure the curved nasal septum is removed and this would help the septum to be straight. However, this manoeuvre also weakens the structure of the septum and the nasal support. It is important to reinforce this the structure of the nose with cartilage grafts to prevent a nasal collapse. Spreader grafts are use and this will also help to improve the airflow. 

03

Considering facial angles and proportions

Using 3D imaging software we are able to simulate possible outcomes and this will help to better consider the ideal facial proportions to create a symmetrical, natural and sophisticated look.

Hospitalisation

Day Surgery

Anaesthesia

IV Sedation or 
General Anaesthesia

Operation Time

60-120 minutes

Removal of Sutures

5 Days

*Nose packing and use of septal splints will be required after septal surgery. The packs are removed after 24-48 hours and the splints are removed on the 5th day.

RELATED PROCEDURES

TIP-PLASTY

DORSAL AUGMENTATION

MALE RHINOPLASTY

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