Management of the Crooked Nose: Structural, Preservation, or Camouflage Techniques

Steven J Pearlman; Sebastian Haack; Monica K Rossi Meyer; Sam P Most

doi:10.1016/j.fsc.2024.06.002

Management of the Crooked Nose: Structural, Preservation, or Camouflage Techniques

Facial Plast Surg Clin North Am. 2024 Nov;32(4):533-550. doi: 10.1016/j.fsc.2024.06.002. Epub 2024 Jul 22.

Authors

Steven J Pearlman¹, Sebastian Haack², Monica K Rossi Meyer³, Sam P Most⁴

Affiliations

¹ Pearlman Aesthetic Surgery, Department of Otolaryngology-Head and Neck Surgery, Columbia University New York, 110 East 60th Street, Suite 908, New York, NY 10022, USA.
² Department for Facial Plastic Surgery, Marienhospital Stuttgart, Böheimstr. 37, Stuttgart 70199, Germany.
³ Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA.
⁴ Division of Facial Plastic and Reconstructive Surgery, Department of Otolaryngology-Head & Neck Surgery, Stanford University School of Medicine, 801 Welch Road, Stanford, CA 94305, USA. Electronic address: [email protected].

PMID: 39341672
DOI: 10.1016/j.fsc.2024.06.002

Abstract

The asymmetric nose is challenging for even the most experienced rhinoplasty surgeons. It has often been referred to as the crooked, twisted, and deviated nose and describes any nose that has deviation of the nasal dorsum and pyramid from the facial midline. This article summarizes the senior author's (SPM) approach and application of structural and preservation concepts to correct the underlying causes of the crooked nose.

Keywords: Crooked nose; Facial plastic and reconstructive surgery; Nasal asymmetry; Osteotomies; Preservation rhinoplasty; Selfies; Septoplasty; Structural rhinoplasty.

Publication types

Review

MeSH terms

Esthetics
Humans
Nasal Cartilages / surgery
Nose Deformities, Acquired / etiology
Nose Deformities, Acquired / surgery
Nose* / abnormalities
Nose* / surgery
Rhinoplasty* / methods