Facial symmetry is one way we unconsciously measure attractiveness in others—and in ourselves. This includes the symmetry of the face overall, as well as the symmetry of individual features, such as the nose. A deviated or crooked nose can cause breathing problems, but it can also affect self-esteem due to the influence nasal asymmetry has over facial aesthetics. The nose is a very prominent facial feature, and any aesthetic issues are quite obvious to onlookers. South Korea is a hub for plastic surgery, and researchers in Seoul recently took a look at whether nasal deviation has a correlation to overall facial symmetry or not, and rhinoplasty’s role in facial balance.
Dr. Yong Ju Jang of the University of Ulsan College of Medicine in Seoul led a study to examine the relationship between nasal crookedness and facial asymmetry. The researchers’ process involved the study of photographs of 152 people who received plastic surgery for nasal deviation during a five year period. They then evaluated the participants’ facial symmetry and compared them to a control group of 60 people who had received nasal surgery, but only to correct internal deviation issues, not for aesthetic purposes. Researchers noted that most people do not have perfectly straight noses, which would have been the ideal control group for the study.
Through the examination of the photos, researchers noticed that over half of the participants with external deviation had additional facial asymmetry, while only about a third of the comparison group did. Types of asymmetry did vary, but most had asymmetry in the lower half of the face. Researchers also noticed that the noses of those with facial asymmetry tended to curve toward the smaller side of the face. Because of this, the authors of the study have expressed concern that rhinoplasty may not be enough to meet the goals of these patients with significant nasal deviation and facial asymmetry, as the procedure only addresses the nose.
Causes of Deviation and Crookedness
Most deviation and crookedness of the nose is caused by an issue known as a deviated septum. A deviated septum is an abnormality that refers to crookedness in the wall separating the nasal passages (the septum). Most people have some degree of deviation, but the majority of cases are extremely mild and cause no aesthetic or breathing issues. Nasal crookedness can also be caused by incidents such as nasal trauma, but there is no natural correlation to facial asymmetry in these cases, unless more of the face experienced significant trauma.
Rhinoplasty for Aesthetics and Function
Rhinoplasty can straighten and improve the appearance of a crooked nose, as well as address breathing problems a deviated septum can cause. While results of the Korean study indicate that more surgery may be needed in addition to rhinoplasty to achieve facial balance, rhinoplasty can still produce remarkable improvement in people with crooked noses.
The rhinoplasty procedure itself is fairly invasive, but good rhinoplasty results are permanent. The surgery is performed under general anesthesia or local anesthesia with sedation, and involves a number of techniques, which may involve breaking and resetting the nasal bones, cartilage grafting, and more. Initial healing takes about 10-14 days, though it may take more than a year for all swelling to subside.
If the implications of the study are correct, then some people may want to consider additional procedures to go along with rhinoplasty. Facial balance is very individual, and it takes the skill and artistry of a skilled facial plastic surgeon to help each patient reach their goals. There are many different procedures available, and the best way to determine the surgery or surgeries that are best is to speak with an expert.
Talk to a Plastic Surgeon
Whether you’re only interested in rhinoplasty, or you want to explore other options for improving overall facial balance, then it’s time to speak with someone who will be able to customize your surgery and work to give you the results you’re looking for. Rhinoplasty is one of the most difficult procedures available, and can be even more difficult when combined with another procedure, so you will want to choose an experienced surgeon with a good reputation.
If you are looking for a surgeon you can trust in Toronto, come to Revesse and meet with Dr. Robert A. Mounsey, a board certified rhinoplasty specialist and facial plastic surgeon who focuses on facial harmony, balance, and a natural appearance. If you would like to discuss your goals with Dr. Mounsey, call Revesse at 416-438-2499 today to schedule a consultation.