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Straightening a Crooked Nose

Straightening a Crooked Nose A crooked nose is one that does not go down the center of your face in a straight line. Crooked noses are quite a common aesthetic or functional concern. The actor Owen Wilson is famous for having a crooked nose.

They can occur due to a deviated septum or previous injury. According to estimates, approximately 80 percent individuals suffer from some type of deviated septum.

The degree of the crookedness of the nose can vary due to the underlying cause. Many times crooked noses are just an aesthetic concern. However, they can sometimes affect the flow of breathing. Rhinoplasty cosmetic surgery can be used to straighten a crooked nose.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and other suburbs and cities in this part of SoCal.

Why a Crooked Nose occurs?

It is essential to understand the causes that lead to a crooked nose before evaluating various corrective alternatives. There are two kinds of crooked noses. The first type stems from problems within the fragile and complex framework of cartilage, bones, and tissue within the nose.

This condition may occur due to:

Tumors
Nose surgery
Birth defects
Injuries such as a broken nose
Serious infections

The reason for developing a crooked nose determines whether the nose is I, C, or S-shaped.

The second cause of developing a crooked nose is a deviated septum. The septum is a wall of the nose that separates the right and left nasal passageways from one another. A deviated septum refers to a condition where this nasal wall leans towards one side leading to partial blockage on the other side of the nose. Some people have a deviated septum since birth while others develop it later.

Along with the crooked appearance of the nose, a deviated septum also leads to:

Heavy breathing
Nosebleeds
Problems sleeping on one side

Surgery

Dermal fillers injections can help with a mildly crooked nose, but cosmetic surgery is required for more severe conditions. Rhinoplasty addresses the outside appearance of the nose. On the other hand, septoplasty addresses the straightening of the wall inside the nose that bifurcates the nose into two portions.

Rhinoplasty

Rhinoplasty can either be cosmetic or functional. Cosmetic rhinoplasty centers only on the appearance aspect of the nose. However, functional rhinoplasty focuses on breathing challenges. A 2015 research study indicated that rhinoplasty can be highly successful in straightening crooked noses in most patients.

The study showed that rhinoplasty corrected various crooked nose conditions with or without achieving facial symmetry. If both halves of the face appear similar, it is known as facial symmetry.

Septoplasty

Septoplasty straightens a crooked nose through reshaping the walls in the passageways of the nose. If your nose is crooked due to a deviated septum, the surgeon will most probably prescribe septoplasty.

Septoplasty can correct nasal air passageway blockages and straighten a crooked nose efficiently. It is safe and proven procedure commonly performed by rhinoplasty surgeons.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and other communities and neighborhoods in this area of the southwest for rhinoplasty.

For more information about treatments and procedures by Facial Plastic and Reconstructive Surgeon, Dr. Eric J. Yavrouian, serving patients in and around Glendale, Pasadena, Burbank and the Greater Los Angeles, CA area call 818-241-2150 or click here to contact him for a consultation.

Correcting The Radix

Correcting The Radix The upper bony part of the nose is known as the radix. The radix and cartilage beneath it may be significant leading to a bump in the nose.

In case the radix is shallow, it can lead to a bump and depression in the nose. The surgeon can decrease the size of the radix by cautiously removing tiny portions from it with rhinoplasty cosmetic surgery.

To add volume to the area that is depressed, the surgeon may harvest the patient’s cartilage from another location and relocate it to the nose area. The surgeon creates a straighter slope by augmenting the area right above the radix.

Anatomy of the Radix

The length of the nose is an essential aspect of a well-balanced, aesthetically appealing face. If the nose length is too long or short, it can change the viewer’s perception, specifically when seeing the face in profile. The root cause of this problem actually stems from the root of the nose, which is called “radix” in medical terms.

Sometimes the angle between the radix and the nasal tip is excessively shallow, sharp, has bumps or any other type of discontinuity. These problems can impact the overall appearance of the nose structure affecting the symmetry of the face and its harmony.

The radix is the area of the nose where the frontal bone connects with the nasal bones. The periphery of the radix lies in between the openings for eye sockets in the skull.

The radix forms an indent between the eyes while the remainder of the nose protrudes from the skull’s base. The base of the radix, known as the “anterior nasal spine,” comprises a narrow line of bone. This bony structure holds the cartilage in place. The cartilage forms the upper part of the nose.

Nasofrontal Augmentation in Rhinoplasty

The cosmetic surgery procedure involved here is radix augmentation. In this procedure, a customized implant is embedded in the radix part of the nose.

The augmentation happens through increasing the radix to the height of nasal bone instead of eliminating or significantly decreasing the size of the nasal bone. Augmentation is also necessary for revision rhinoplasty procedures where the patient has already had a large amount of the nasal bone taken out.

The augmentation surgery involves placing implants and reshaping the cartilage in the nose. Some key highlights of an effective radix augmentation surgery are:

Correct dissection of the implant pocket
Creating customized implants to suit the shape and size requirements of each patient
Securing the implant or graft in place securely to enable proper fixation with no movement

An effective nasofrontal augmentation surgery will create a structure that is proportionate to other facial features in profile as well as frontal observations. Astute facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and other communities and cities in this region of the state for rhinoplasty.

Cosmetic Rhinoplasty Procedures

Cosmetic Rhinoplasty Procedures Rhinoplasty cosmetic surgery procedures can be performed using different techniques to suit the unique needs of a patient.

During the pre-op consultation, the nose surgeon will determine the patient’s candidacy for a particular type of cosmetic rhinoplasty. Facial plastic and reconstructive surgeon Dr. Eric Yavrouian provides rhinoplasty to patients in Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and surrounding communities across the landscape.

Reduction Rhinoplasty

Reduction rhinoplasty is a common nose reshaping procedure. This surgery gives the patient a nose that is more proportional to other facial features. This type of rhinoplasty is useful for issues such as an elongated nasal tip, excessively flared nostrils, and bumps on the nose bridge.

The surgeon removes minuscule pieces of cartilage and bone to achieve aesthetically desirable outcomes. To shrink the nostrils, the surgeon may use a technique known as alar base reduction. In this procedure, the surgeon takes out small amounts of tissue from the location where the cheek and nostrils meet.

Augmentation Rhinoplasty

Augmentation rhinoplasty is another major nose reshaping cosmetic surgery procedure. In this surgery, the surgeon grafts tissue or bone to create the tip of the nose and/or the bridge. In certain cases, the surgeon uses cartilage taken from other areas in the nose such as the nasal septum. But if the patient does not have sufficient tissue in this region, the surgeon can use cartilage from other locations on the body, rib bone, synthetic material, or other types of biological tissue.

Post-Traumatic Rhinoplasty

A post-traumatic rhinoplasty procedure can help patients with nose injuries. This surgery can enhance both functionality and appearance. Surgeons use this surgery to address crooked noses and rectify problems in the nasal septum.

Many times, post-traumatic rhinoplasty patients suffer from broken noses. Such cases require the surgeon to re-fracture the nose. Subsequently, the nose is reset to achieve optimum results. A surgeon can typically set a basic nose fracture with a 10-day period after the fracture.

Reconstructive Rhinoplasty

Patients that have lost their entire nose or a part of it to skin cancer, accidents, or another severe illness can benefit from reconstructive rhinoplasty surgery. In this treatment, the surgeon will rebuild the nose through using processes such as flap technique, skin grafts, and various other innovative techniques. This is a complicated procedure which may need multiple surgeries over a few months.

Ethnic Rhinoplasty

In ethnic rhinoplasty procedures, surgeons use the same techniques as other types of nose reshaping surgeries. This rhinoplasty procedure is mostly performed on people of Afro-Caribbean, African American, Hispanic, Middle-Eastern, and Asian heritage. People from these ethnicities have softer nasal contours. Surgeons ensure that the distinct features of these faces remain undisturbed.

Adolescent Rhinoplasty

In a majority of the cases, doctors recommend that teen patients should wait till their nose is fully developed before considering a rhinoplasty.

Cases of difficulty in breathing and trauma are exceptions. Surgeons ensure that they protect the fragile nasal features if a teenage patient undergoes this surgery. Furthermore, the surgeon must establish that the patient is psychologically and emotionally ready for a rhinoplasty procedure.

Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and other neighborhoods and suburbs in this region of California for rhinoplasty.

Vital Information Pertaining to Nasal Fractures

Vital Information Pertaining to Nasal Fractures Nose fractures make up almost 40 percent of the injuries to the bone in facial trauma cases. The treatment starts with primary care.

This involves assessing the extent of the injury, accurately understanding what lead to the injury, and determining the state of the nose and face prior to the injury. A successful and trained surgeon who can perform rhinoplasty cosmetic surgery may provide appropriate treatment for nasal fractures.

There are several kinds of nasal fractures. If left untreated, these fractures can lead to obstructions in breathing and a deformed or crooked nose. Fractures can happen at any place in the nasal “bony pyramid.” This is the pyramid-like and bony structure that extends from the face. Diverse fractures need different kinds of osteotomy to rejoin or reset the bones.

Greenstick Fractures

This type of fracture happens along the edges of the nasal bones. Greenstick fractures frequently occur in children whose delicate bones are developing and are incredibly flexible. Therefore, these types of fractures are usually partial instead of completely broken bones.

Saddle Deformity

This is a more serious fracture which leads to the septum and bridge of the nose to collapse and become conclave into the face. This produces a saddle-type shape which is apparent when the face is seen in profile. This condition occurs due to reasons such as acute trauma to the face or breakdown of cartilage because of snorting drugs such as cocaine.

To address such cases, the surgeon will incorporate rib bone tissue from a donor or cartilage to recreate the septum and bridge.

Comminuted Fracture

This type of fracture happens when a bone disintegrates into three pieces or more. The surgeon will remove surplus bone pieces which may cause severe complications if left untreated. The bones in the nose will be aligned as well. This condition is standard for serious injuries or in aged patients with weak bones.

Le Fort Fractures

In certain instances, serious injury can lead to damage to the bones that lie behind the nose, also known as maxillae. The maxillae comprise of two bones that make up the palate and upper jaw and provide support to nasal structures. These fractures are called Le Fort fractures and are categorized into three variants.

Le Fort I fracture occurs in a horizontal position leading to damage to the jaw and nostril line. Le Fort II fractures cause damage to the maxillae underneath the sockets of the eyes around the nose bridge. A Le Fort II fracture damages the bones in a pyramid-like shape.

This fracture extends from the nasal bridge to the mouth corners in an inverted V shape. Le Fort III fractures involve the orbital sockets which refer to the bones around the eyes.

Le Fort fractures are a severe condition. They need immediate treatment as they can cause long-term damage to the palate and the brain. A judicious surgeon who can carry out this type of cosmetic surgery can address these fractures through rhinoplasty.
Facial plastic and reconstructive surgeon Dr. Eric Yavrouian receives patients from Glendale, Pasadena, Burbank, Greater Los Angeles, Beverly Hills, CA, and other suburbs and cities across the horizon for rhinoplasty.

818.241.2150

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Straightening a Crooked Nose

Monthly Archives: May 2018