بینی های کج و نامتقارن که به عنوان بینی پیچ خورده و نام علمی دیسپلاسمی شناخته می شود؛ It is a disorder in the appearance of the nose, which is usually associated with Nose plastic surgery We will pay.

Causes of creating a crooked and uncorrected nose

The apparent deviation of the nose may occur for various reasons, which we will examine in more detail below.

1. Congenital Deformities

Some people have abnormalities in the structure of the nose from birth. These can include unbalanced growth of the nasal bones or lateral cartilages. Sometimes these abnormalities are caused during the fetal period or due to pressure during natural childbirth.

2. Trauma or blow to the nose

The most common cause of crooked nose is trauma. This impact can be in childhood (for example, falling down), martial arts, accidents, or even minor impacts that over time and without proper treatment, lead to complete deviation of the nose and its crookedness.

3. Asymmetric growth during puberty

In some people, facial bones and cartilage grow at different rates. This asymmetric growth may cause the nose to stretch or curve to one side.

4. Unsuccessful or incomplete surgeries

If the previous nose surgery was not done correctly, the cartilages and bones may be repaired in an abnormal way, and as a result, it may cause a crooked appearance and even a breathing disorder.

Difference of crooked nose (dysplasmic) with deviation of nasal septum (septum)

Many patients use the two terms crooked nose and deviated nasal septum interchangeably, while these two problems have important structural differences.

1. Crooked Nose

In this case, the entire external skeleton of the nose is deviated to one side. This problem is clearly visible in the front view and usually people seek to fix it for appearance reasons. Of course, sometimes it is also associated with obstruction of one side of the nose.

2. Deviated septum

In this case, the cartilaginous plate inside the nose, which divides the nose into two respiratory passages, is deviated to one side. The appearance of the nose may be completely normal, but breathing through one or both passages is difficult.

3. Combination of both problems

In many cases, these two problems exist simultaneously. It means that the person has both appearance and respiratory disorder. In these cases, the treatment requires combined surgery (septo-rhinoplasty).

difference between nasal deviation and nasal curvature

Note: In many cases, these two problems exist at the same time and require a combined correction.

criteria for checking non-cognate noses

Before the corrective surgery, the surgeon must carefully check the amount, type and location of the crooked nose. This examination includes clinical evaluations, imaging and examination of aesthetic proportions.

To determine the degree of curvature or asymmetry, the surgeon uses a combination of clinical examination, standard photographs and 3D scans. In this examination, the following items are checked:

• Angle of deviation of the nose in relation to the midline of the face
• Difference in the surface of the nose blades
• Narrowness of the nostrils in the front and bottom view
• The position of the septum in relation to the base of the nose

1. The midline of the face (Midline Deviation)

Checking how much the nose deviates from the line of symmetry of the face. This is done by accurately measuring the line between the two eyes, the chin and the tip of the nose.

2. Anterior and inferior view of the nose

From the front view, the amount of asymmetry of the nostrils and the curvature of the back of the nose is checked. From the bottom view (Worm's Eye View), the shape and symmetry of the holes, blades and the entire base of the nose are evaluated.

3. Nose blades (Alar Symmetry)

The curvature of the nose usually has a direct effect on the shape of the fins. One of the signs of deviation is the uneven width of the nose blades or their drooping on one side.

4. Breathing and internal function

Using endoscopy or CT scan, the function of the internal blade, tentacles and other respiratory structures are also checked so that correction can be done at the same time if needed.

methods for treating crooked and asymmetrical noses

In treating the problem of noses that are crooked, asymmetrical or non-proportionate; There are the following corrective methods:

Open Rhinoplasty

This method is the first choice for correcting severely crooked and uneven noses. In this technique, complete access to the bony and cartilaginous skeleton of the nose is provided.

Advantages:

• High precision in correction of deviation
• Possibility of strengthening the structure with cartilage graft
• Possibility of simultaneous correction of respiratory function

Closed Rhinoplasty

In cases where the curvature is mild or moderate, this technique can be used. In this method, there is no external incision and the wounds are placed inside the nose.

Limitations:

• Restricted access to internal structures
• Suitable for less complex cases

Using types of graft to restore symmetry

In many cases, it is not enough to just replace the cartilage or bones. To maintain the new form or restore the damaged points, the surgeon uses the grafting technique.

Septal cartilage

The most common and best source of graft is in the same initial operation. Its material is strong and malleable.

Auricular Cartilage

In cases where the blade cartilage is not enough (for example, in reconstructive surgeries), earlobe cartilage can be used.

Costal Cartilage

In complex cases or noses that have had multiple surgeries, rib cartilage is the best option. This cartilage has a large volume and is suitable for complete skeleton reconstruction.

Use of grafts in crooked noses:

• Strengthening of weakened structures
• Fix modified lines
• Preventing the nose from returning to its original state
• Creating balance and symmetry in front view and profile

Success-Rate of Crooked-Nose-Correction Surgery

Surgery to correct crooked noses, especially in noses with previous injuries or complex structures, is considered one of the most challenging cosmetic procedures. However, if you follow the correct principles and choose an experienced surgeon, the probability of success will be high.

• The amount and type of initial deviation
• Surgical technique and doctor's experience
• Patient cooperation during recovery
• The quality of individual cartilage tissue

factors affecting the success of the nose-crooked surgery

Approximate statistics:

• Success in first surgery: about 80–90%
• The need for reconstructive surgery: in severe crooked noses, the possibility of revision is about 10-15%.

Sometimes a second surgery (Revision) is needed to achieve the best result, especially in complex cases or previous surgeries failed.

care after crooked nose surgery

Care after crooked nose surgery not only affects the final appearance, but also plays a key role in the success of respiratory function treatment and preventing the return of crooked nose. Since crooked noses usually have more structural complications, they have a more sensitive recovery period than conventional cosmetic surgeries.

In the following, we discuss the key points and important recommendations after the operation:

Rest and proper sleeping position

• The head should be kept elevated for at least the first 7 days after surgery. The best position is to sleep on your back with an angle of 30 to 45 degrees (you can use two pillows).
• Do not sleep on your side or lower your head under any circumstances, as pressure on the nasal septum may lead to graft movement or nasal deformity.

Cold compress (up to the first 48 hours)

• Using ice compresses around the nose and under the eyes helps reduce swelling and bruising.
• Ice should not be placed directly on the nose; Be sure to use a sterile towel or gauze as a cover.

proper nutrition

• For the first days, use soft, cold and low-salt foods. Salt increases swelling.
• Drinking a lot of water helps to eliminate anesthetic drugs and reduce inflammation.
• It is better not to use a straw, because the suction may put pressure on the internal structure of the nose.

prescribed drugs and medical care

• Regular use of antibiotics and painkillers is necessary as prescribed by the doctor.
• Using saline spray (nose washing solution) to keep the nasal passages clean starts from the second week according to the surgeon's recommendation.

necessary avoidance

• Complete avoidance of wearing glasses (sunglasses or prescription) for the first 6 weeks.
• Severe activities, sports, bending or lifting heavy objects should be postponed for about 3 weeks.
• Avoid direct sunlight to prevent nose skin discoloration and inflammation.

attending follow-up meetings with surgeon

• The first examination is usually done 7 days after the operation to remove the splint.
• Follow-up appointments are usually arranged during the first month, third month and six months depending on the condition of the nose.
• In cases of graft use, long-term examinations are important to evaluate graft absorption and maintain symmetry.

In crooked nose surgery, tissues and cartilages may have structural memory and tend to return to their previous form. Therefore, strict adherence to post-operative care greatly reduces the possibility of the curvature returning.

last word

Correcting crooked and non-aligned noses, especially in people who have problems in terms of appearance or respiratory function, can create a fundamental change in the quality of life. By choosing a skilled surgeon, careful pre-operative examination and implementation of up-to-date techniques, it is possible to achieve a symmetrical and functional nose.

For expert advice and detailed examination of your nose condition, you can contact Dr. Farrokhi website numbers.