Dr. Tang Yuxiang (Shanghai Rhinoplasty)

First give a direct answer to whether the crooked nose can be repaired after rhinoplasty. The key is to distinguish the cause: if the prosthesis is displaced or the engraving is placed deflected, the position of the prosthesis needs to be readjusted or replaced; if the autologous cartilage power is unbalanced or the nasal septum is deviated, the nasal support structure needs to be rebuilt. Slight deflection in the early stage of surgery (within 1 - 3 weeks) can be observed first, and most of the swelling subsides and improves; if it is still obviously crooked after stabilization, it usually needs to wait for the nose to fully recover (usually more than 6 months) before secondary repair. First, the common cause of postoperative crooked nose "the nose is crooked" has different reasons, and the repair ideas are also completely different. Common causes include: Prosthesis displacement: improper peeling of the cavity, too large and too long prosthesis or external force collision after surgery, resulting in the prosthesis being biased to one side. Prosthesis engraving/placement deflection: The prosthesis itself is engraved asymmetrically...

First, a direct answer The key to correcting a crooked nose lies in the "three-layer treatment": bony deviation relies on osteotomy and reduction, while cartilage deviation relies on cartilage remodeling and support. Nasal septal deviation must be corrected simultaneously. The nasal septum is the "load-bearing wall" of the nose; only correcting the appearance without addressing a deviated septum is very likely to become deviated again after surgery. The specific osteotomy method and whether functional surgery is combined should be determined by a medical consultation by Dr. Tang Yuxiang and other specialists. 1. Classification of a deviated nose: First, determine which layer the deviated nose is on. Deviated nose refers to deviations where the nasal bridge axis deviates from the midline of the face. You can draw a line from the eyebrow to the tip of the nose to self-measure: the overall axis deviates to one side for a straight line, the middle bend is C-shaped, and two opposite turns form an S-shape. According to anatomical levels, it is divided into three types: bony crooked nose: crookedness concentrated in the nasal bone segment (upper 1/3), mostly due to displaced healing of traumatic fractures...