Plastic Surgery · Concern

Crooked Nose: Causes and Treatment Options

Also known as: deviated nose, twisted nose

A crooked nose bends or twists away from the middle of the face. It can be slightly C-shaped or S-shaped, or lean to one side. Some people are born with it; for others, it follows an injury or earlier nose surgery. A crooked nose is common and often causes no problems. When it affects your breathing or how you feel about your face, surgery can help.

A person's face in profile, showing a nose that bends slightly to one side

Is a Crooked Nose a Problem?

Often, it is not. Many people have a nose that is a little off-center, and it does not cause any medical problems. If your nose has been crooked since birth and it does not bother you, treatment is not usually needed. Some people choose treatment because of how their nose looks. Others do because it makes breathing harder, usually through one side.

What Causes a Crooked Nose?

The bend can come from the bones, the cartilage or the septum, the thin wall inside the nose that separates the two sides.

  • Birth: Some noses are shaped this way from birth, and the septum can occasionally be pushed out of place during delivery.
  • An injury: A blow to the nose can move its bones or cartilage.
  • Earlier nose surgery: Surgery can sometimes leave the nose off-center, and further surgery may be needed to correct it.
  • A deviated septum: The septum leans to one side. As many as 80 percent of people have a septum that is off-center to some degree, with or without symptoms. It can happen after an injury, or without one.

Signs of a Deviated Septum

When a deviated septum causes problems, the most common one is difficulty breathing through the nose, usually worse on one side. Other signs include:

  • Nosebleeds
  • Sinus infections
  • Breathing through the mouth during sleep in adults
  • Noisy breathing during sleep in young children

A Crooked Nose After an Injury

A broken nose usually heals on its own within 3 weeks. If your nose looks crooked after an injury, get medical help, and do not try to straighten it yourself. A doctor may be able to straighten it with a procedure under local anesthetic, called manipulation. You may need to wait for the swelling to go down first, and it should be done within 3 weeks of the injury, before the bones set. It often helps, though the nose may not look exactly as it did before.

When to See a Doctor About a Crooked Nose

Your doctor or an ear, nose and throat (ENT) specialist can examine your nose inside and out. Make an appointment if any of these sounds familiar.

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Can a Crooked Nose Be Fixed Without Surgery?

Only surgery can change the position of the bones or cartilage. For a mildly crooked nose, a doctor may suggest trying soft tissue fillers first, which are injected into the soft tissues of the nose.

Treatment Options for a Crooked Nose

The right surgery depends on what is causing the bend and how severe it is. If the septum inside the nose is the cause, septoplasty straightens it and is often done in the same operation as rhinoplasty. Surgery aims to bring the nose into balance with the rest of the face, but the result may not be perfectly symmetrical.

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Crooked Nose: Frequently Asked Questions

Do nose exercises straighten a crooked nose?

No. There is no scientific evidence that any exercise can correct a crooked nose. Exercise cannot change the position of the bones or cartilage.

Is a deviated septum the same as a crooked nose?

Not always. The septum is inside the nose. When it leans to one side, it can make the nose look crooked, but the outside of the nose can also bend because of its bones or cartilage. A doctor can tell which one is causing the bend.

At what age can a crooked nose be corrected?

Rhinoplasty is done once the face has finished growing. In young children, septoplasty is usually done only if the problem is severe, because the face is still growing.

Sources

  • Crooked nose: Treatments and causes

    Medical News Today · medicalnewstoday.com

  • Deviated Septum

    ENT Health, American Academy of Otolaryngology-Head and Neck Surgery Foundation · enthealth.org

  • Broken nose

    NHS · nhs.uk

  • Rhinoplasty

    American Society of Plastic Surgeons · plasticsurgery.org

  • Who is a good candidate for rhinoplasty?

    American Society of Plastic Surgeons · plasticsurgery.org

  • Management of the Crooked Nose: Structural, Preservation, or Camouflage Techniques

    Facial Plastic Surgery Clinics of North America, 2024 · pubmed.ncbi.nlm.nih.gov

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