Crooked nose & deviated nasal septum: The single most common cause of a Failed Rhinoplasty is crooked nose correction
The problem-
Patient says he/she just wants to breath well and are not interested in any aesthetic procedure.
Most ENT surgeons can do good septal surgery but are not so well trained in Rhinoplasty. But since they do not want to lose a patient they go ahead and do a septoplasty operation.
The lower part of the Nasal dorsum is actually the upper part of nasal septum and without correcting the dorsal deviation the results of any septal surgery are suboptimal.
Though initially there may be improvement but later on symptoms recur and many times the nasal shape gets deformed because of the surgery itself. The problems starts now.The revision operation in these cases is very complex and may not give a perfect results. Two Team approach — Many times the ENT surgeon says I will call a plastic surgeon or vice versa to help in the operation. To the lay mind the more the merrier. But this is a perfect recipe for disaster and very often the surgeons blame each other. One nose one surgeon, one philosophy. This approach is condemned worldwide but unfortunately still widely prevalent in India.
Case Study 1: Gentleman from Punjab had crocked nose correction by a General Aesthetic Surgeon
Picture below, after the Rhinoplasty his nose was still crooked, the nasal obstruction persisted and he developed a depression on the nose dorsum.
Case Study 2: Young lady only interested in breathing improvement
But the correct treatment for her would be Septo-Rhinoplasty only septoplasty didn’t work for her
After 3rd Revision surgery –Aesthetic and functional improvement