The crooked nose is unremarkably the result of a crooked septum and nasal bones. In addition to causing cosmetic deformity, this oftentimes as well causes animate problems, which can affect exercise, sleep, and sinus problems. Dr. Zoumalan has done all-encompassing inquiry in this field.

Patient Results

You can see the improvement of appearance in these patients who underwent Rhinoplasty and Septoplasty to improve their crooked nose. Both of these patients likewise experienced comeback in their breathing.

Female Crooked Nose Example

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This young woman underwent Rhinoplasty by Dr. Zoumalan. Y'all can see the alter in her crooked olfactory organ earlier and after surgery. The red line shows the direction of her nose compared to the black line that is her midline of her confront. You lot tin can run across the improvement she experienced.

Male Kleptomaniacal Nose Instance

crooked-nose-before-after-01

It is important to notation that no surgeon can hope a perfectly straight nose. This is considering the nose consists of cartilage which has "memory." The lesser ii thirds of the nose is composed of cartilage (in blue color):

nose-diagram-thirds-300x288When nosotros say that the cartilage has "retentiveness," this means that the cartilage likes to go back to where it was before. Dr. Zoumalan uses every technique possible to ensure that the cartilage remains in its new and direct position. Yet, cartilage tin can warp (curve) on its own over time. Techniques that Dr. Zoumalan uses to minimize the amount of change after surgery include: spreader grafts, strut grafts, PDS foil, and even extracorporeal Septoplasty, which involves removing the kleptomaniacal portion of the septum and reconstructing it birthday. This is an advanced technique that few surgeons in the world tin can practice.

Additional Patient Examples

Here are a few more of Dr. Zoumalan's patients who benefited from Rhinoplasty and Septoplasty to straighten their nose:

Treatment of the Kleptomaniacal Nose

There are many variations of a crooked nose. The nose is cosmetically and functionally broken up into thirds. The top 3rd, middle 3rd, and lower tertiary. Dr. Zoumalan uses this "Principle of Thirds" to determine how to manage a crooked olfactory organ. The effigy below illustrates the dissimilar permutations of a crooked nose.

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Artist-rendered images of five different permutations of crooked noses. C stands for Middle. R stands for Correct of midline. L stands for Left of midline. Thus at that place are 26 variations of a kleptomaniacal nose. The 27th variation is C-C-C which is a straight nose. This illustration shows simply some of them.

Dr. Zoumalan is familiar and has experience with all the unlike variations of the kleptomaniacal nose. To straighten the bony aspect of the nose, osteotomies are performed to align bones properly. Here are some of variations of osteotomies that Dr. Zoumalan uses.

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These figures evidence 3 unlike types of osteotomies that can exist performed. The upper image is that of a depression-low osteotomy, where the osteotomy is closer to the maxilla (low) throughout its route. The middle image is that of an osteotomy that starts depression and ends loftier (closer to the back). The lesser image is that of a high-low-high route, which is the about commonly used blazon of osteotomy route. The midportion of the osteotomy dips closer to the maxilla (low)

The handling of a kleptomaniacal nose remains ane of the near challenging aspects of rhinoplasty surgery. There are many techniques currently available for correction of the crooked nasal deformity. Patients differ in their goals for surgery, and it is essential that the surgeon understand their needs. While some patients are focused on the aesthetic consequence, others are more concerned with functional comeback. More commonly, patients have a combination of cosmetic and functional concerns.

Causes of a Crooked Nose

The crooked nose can exist due to built (from nascency), traumatic (from an accident), or iatrogenic (due to previous surgery) reasons. A congenitally crooked nose is often associated with overall facial disproportion. Most patients take mild facial asymmetry. The patient should be informed about these facial asymmetries preoperatively and made aware of how this may or may non impact their consequence. Treatment of the congenitally crooked nose can be challenging since the surrounding deviation of the internal and external facial framework makes it difficult to observe a common midline. Traumatic crooked noses can be the effect of a depression velocity force or a college velocity forcefulness that causes nasal deviations on both sides along with divergence of the septum.

During your consultation, Dr. Zoumalan volition perform a thorough history and concrete test. It is important to determine the reason for the departure in order to reach the best plan for obtaining a nose that is straight as possible.

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Testimonials

  • I was injured on January 7, 2012 in a mo-ped/scooter blow in Cozumel, Mexico. My entire body head to toe (literally) endured horrendous route rash, my olfactory organ broke & plenty more. The level of care I received from dr Zoumalan & his entire office was/is truly indescribable only I shall effort!

    Veronica

  • It'due south been a yr since my septoplasty and rhinoplasty and I am extremely happy with my results.Non only has my breathing dramatically improved, I am sleeping better than ever. I experience healthier and it has significantly changed my exercise routine. I can definitely push myself harder and my workouts are longer and more efficient. All-time part is I don't go that winded feeling or stuffy or runny nose while running. I didn't realize how many aspects of my life would alter after the surgery.

    Lauren C.

  • I had a Face and Neck Lift on Dec third, 2014. Dr. Zoumalan does excellent piece of work! He is very thorough in explaining the process, and has an first-class bedside way. I am so happy with my outcome. I would highly recommend Dr. Zoumalan.

    Carol Burt

  • And so when I met with Richard Zoumalan, I gave him a motion-picture show of me when I was 42, and I said, "That'southward what I desire. Is that possible?" And he said, "Yes!" He explained what he'd do, and how he would do it. I had surgery less than a calendar month ago, and amazingly, I expect almost exactly like me, just about 25 years younger.

    By Life Love

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