Question: I’ve had 2 rhinoplasties now and both have left my nose crooked. Is this just my nose? Is it possible to fix this with another surgery?
Answer: Correcting a nose that is crooked can be a very difficult problem. It is important to have an experienced rhinoplasty surgeon examine the nose and try to determine the deformity. However, based on two previous surgeries it may be difficult to precisely determine what the cause of the crooked nose is prior to surgery. Two assessments must be made. The first is whether or not any further surgery can improve the nose. Every human being has mild asymmetries and sometimes the nose may be slightly asymmetrical. It is important to look at the pre-surgical photos to see how much correction has been obtained and whether or not there is any value in attempting to create any further correction. If there is value in more surgery, then quite often the precise diagnosis and the best way to fix this would determine the type of surgery. In general, I like to caution patients that rhinoplasty surgery quite often obeys the law of diminishing returns. The more rhinoplasty surgeries a person has, in general the less likely the successive surgeries are going to be able to improve the nose. Making sure that you choose an experienced rhinoplasty surgeon for your first surgical procedure can also help to limit your surgical procedures.