Correction of crooked nose: How to correct C-type and S-type crooked nose
Give a direct answer first
The key to the correction of crooked nose lies in the "three-layer treatment": osteotomy reduction of bony crooked leaning, cartilaginous crooked leaning on cartilage remodeling and support, and nasal septum deviation must be corrected simultaneously.The nasal septum is the "load-bearing wall" of the nose. It only straightens the appearance without dealing with the deviated nasal septum, and it is easy to be skewed again after surgery. The specific osteotomy method and whether it is combined with functional surgery requireDr. Tang YuxiangAfter a professional doctor's interview, it will be determined.
First, the classification of crooked nose: first look at which layer is crooked
Deviated nose refers to the abnormality of the axis of the bridge of the nose deviating from the midline of the face. You can draw a line from the eyebrows to the tip of the nose for self-testing: the overall axis is biased to one side as a straight line, the middle section is C-shaped, and the two reverse turns are S-shaped. According to the anatomical level, it is divided into three categories:
- Bone crooked nose:The skew is concentrated in the nasal segment (upper 1/3), which is mostly caused by the dislocation healing of traumatic fractures.
- Cartilaginous crooked nose:In the middle and lower segment, the deviation is related to the deviation of septal cartilage and lateral nasal cartilage, often accompanied by nasal tip deviation.
- Mixed crooked nose:Bone and cartilage coexist, the most common, and the most complex correction.
About 70% of the obvious nose is accompanied bydeviated septum, can appear unilateral nasal congestion, sleep snoring, repeated nosebleeds and other functional problems - this is also the difference between crooked nose correction and ordinary cosmetic rhinoplasty: it is both cosmetic surgery and functional surgery. Crooked nose is one of the common nose deformities, and the overall classification can be referred toSix types of nasal deformity correction plan。
II. Correction plan and cost reference
| type | Core operation | Whether to treat the nasal septum | Reference price range |
|---|---|---|---|
| Mild cartilaginous crooked nose | Cartilage suture adjustment + graft extension | Degree of apparent deflection | About 3 million - 5 million yuan |
| bony crooked nose | Bilateral lateral osteotomy + bone reduction and fixation | Concurrent correction is often required | About 5 million - 8 million yuan |
| Mixed/traumatic severe crooked nose | Osteotomy reduction + nasal septum correction + costal cartilage scaffold reconstruction | must | About 8 million - 15 million yuan |
Tip: The deviation correction of the nasal septum solely for the purpose of improving ventilation may be included in the medical insurance in the otolaryngology department of public hospitals, but the crooked rhinoplasty for the purpose of appearance is a self-funded medical aesthetic project. See the cost composition for detailsHow much is a rhinoplasty?。
Key points of surgery
- Release is a prerequisite:Fully peel and loosen the crooked osteochondral scaffold to relieve the tension of "memory rebound".
- Nasal septum correction:Remove the deflected part, retain the L-shaped stent, and reinforce both sides with open grafts if necessary, taking into account ventilation.
- Osteotomy reduction:The nasal cone was "moved" back to the midline by mediolateral osteotomy and fixed with a splint.
- Symmetry fine-tuning:The residual mild asymmetry was modified with cartilage grafts, seeking "visual centering" rather than absolute geometric symmetry.
III. Recovery period and precautions
After correction of crooked nose, the nasal cavity is usually stuffed for 24 to 72 hours, and the external nasal splint is fixed for 1 to 2 weeks; most of the swelling subsides within 1 month, and the bone healing and morphological stability take 3 to 6 months. See the full timelineRhinoplasty recovery schedule。
- Avoid collisions, wear glasses, and try to lie on your back when sleeping within 1 months after surgery.
- Cartilage has a certain "shape memory", and slight rebound is a common phenomenon. Obviously, it needs to be evaluated and repaired after stabilization.
- Fresh nasal bone fractures after trauma should be reduced within 2 weeks; old crooked nose is recommended to be formally corrected more than 6 months after injury.
Fourth, crooked nose correction FAQ
Q: How much does it cost to correct a crooked nose?
A: Mild cartilaginous crooked nose in Shanghai is about 3 to {10} million yuan, and mixed crooked nose that requires osteotomy or costal cartilage reconstruction is about {20} to 15 million yuan. The specific treatment plan shall prevail.
Q: Can I get medical insurance for crooked nose correction?
A: Deviation correction of nasal septum for the purpose of improving nasal congestion may be partially reimbursed by medical insurance in public hospitals; Deviation rhinoplasty for the purpose of improving appearance is a self-funded item, and the two can be evaluated separately under the premise of compliance.
Q: Will the crooked nose still be crooked after correction?
A: The cartilage has memory, and mild rebound may occur; standardized release, nasal septum correction, and firm fixation can reduce the probability of realignment to a lower level, and postoperative protection is equally important.
Q: The nose is crooked but does not affect breathing. Do you need to treat the nasal septum?
A: In most cases, it is required. The nasal septum is the central axis that supports the bridge of the nose. Even if there are no ventilation symptoms, the curved nasal septum is not corrected, and it is easy to be "crooked" after the appearance is straightened.
Q: Can crooked nose correction and rhinoplasty be done together?
A: Yes, clinically, it often raises the bridge of the nose and refines the tip of the nose while righting, that is, the crooked nose-nose synthesis; whether it needs to be evaluated in combination with nasal conditions at the same time, please refer toComprehensive or simple rhinoplasty?。
Q: How long will it take to see the final results after surgery?
A: The general outline can be seen in 1 month, the bone healing is stable in 3-6 months, and the final shape is generally subject to 6-12 months.
Related nose topics
- Six types of nasal deformity correction plan
- Introduction of Dr. Tang Yuxiang
- crooked nose repair
- How much is a rhinoplasty?
- Rhinoplasty recovery schedule
This article is composed ofDr. Tang YuxiangThe medical beauty strategy section is sorted out and released. Please indicate the source when reprinting.
Medical Disclaimer: This article is the content of nasal science popularization, does not constitute diagnosis and treatment suggestions, and does not guarantee any surgical results. The relevant plan needs to be interviewed by professional physicians such as Dr. Tang Yuxiang, and determined after comprehensive evaluation of personal nasal conditions and health conditions. There are individual risks and differences in medical aesthetics, please make rational decisions.
