Nose Surgery

Deviated Nose

One procedure that resolves functional and aesthetic issues at the same time!

What is Deviated Nose Surgery?

JW’s deviated nose surgery (i.e. deviated septum) creates a beautiful nose shape and improves breathing by realigning the septum.

In order to relieve the symptoms of nasal septum deviation such as nasal obstruction, rhinitis, and headaches, JW Plastic Surgery Hospital plans a surgical procedure, keeping in consideration each individual patient’s facial structure and conditions. Through plastic nose surgery, we improve the shape of the deviated nose and as well as its functions.

1
A deviated nose (nasal septum deviation) refers to a crooked nose. If the nasal septum is also deformed, other symptoms such as nasal obstruction (stuffy nose) can occur and cause issues in the patient’s everyday life.
2
A nose consists of four parts: the nasal bones, upper lateral cartilages, the nasal tip cartilage (nasal cartilage), and nasal septum. Any of them can cause a deviated nose, so the surgical procedure varies depending on the causative factors and a degree of deviation.
3
To relieve the symptoms of nasal septum deviation such as nasal obstruction, rhinitis, and headaches, JW Plastic Surgery provides a proper surgical procedure, considering the patient’s conditions. Through nose surgery, we create a beautiful nose shape and improve the functions of the nose at the same time.

What is the nasal septum?

The nasal septum is a wall-like structure that stands in the middle vertically, dividing the nostril in two. Both sides are covered with mucous membranes, and the cartilages are located at the center.

  • Surgery Duration1.5 - 2 hours
  • HospitalizationNot Required
  • # of Postoperative visits2 - 3 Visits
  • AnesthesiaShort-term Sedation
  • Removal of Stitches5 - 7 days after the operation
  • Recovery PeriodReturn to normal life after removal of stitches
We Recommend The Deviated Nose Correction Surgery In The Following Cases:
  • Patients whose faces are asymmetric due to a deviated nose.
  • Patients whose noses are not seriously deviated but suffer from nasal obstruction or other nose diseases.
  • Patients with asymmetric nostrils.
  • Patients whose noses ended up deviated after a prior rhinoplasty procedure.

JW’s Deviated Nose Correction

#1 | Camouflage Method

The camouflage method is a simple procedure that corrects a slightly deviated nose through cartilage grafting or dermis grafting. Most cases are corrected with simple procedures.

#2 | Corrective Rhinoplasty

Corrective rhinoplasty is recommended to those who have a seriously deviated nose when different parts are misaligned.

In this case, deviated nose correction is not limited to septum correction. To perform corrective rhinoplasty on a deviated nose, several diagnostic and corrective procedures should be performed at the same time.

1

Deviated Nasal Bone Correction (Nasal Osteotomy)

Nasal Osteotomy is a surgical procedure that corrects the location of the nasal bones by vertically cutting both sides and the central part of the nose. It is considered as one of the most basic procedures.
Publications relating to Dorsal augmentation using autogenous tissues, by Dr. Man Koon Suh:
  • 1Correction of deviated nose (ACFS “Archives of Craniofacial Surgery) (Link, Video Link)
2

Deviated Nasal Cartilage(upper lateral cartilage) Correction (Septum cartilage spreader graft)

There are various surgical methods to correct the deviated cartilages from the middle to the tip of the nose.
3

Alar Cartilage or Nasal Bridge Correction

In case of a deviated nose tip or nasal bridge, its cartilages, alar cartilages, or septal nasal cartilages should be corrected.
4

Septal Cartilage Correction (SMR or Septoplasty)

The nasal septum, consisting of bones and cartilages, refers to a structure dividing the two nostrils. It can be considered as the columella supporting the nasal bridge. Nasal septum deviation is a physical misinformation of the nose caused by the displacement of the nasal septum. It’s also known as a deviated septum. When correcting a deviated nose, the doctor will check if it’s accompanied by a deviated septum, in which case it should be corrected as well.
5

Inferior Terbinate Enlargement

If you are suffering from nasal obstruction resulting from the inferior nasal concha, we cut a small part of the inferior nasal concha off or downsize it through a high-frequency procedure during the deviated nose correction. This procedure can relieve breathing difficulty and nasal obstruction symptoms by widening the inner space of the nose.
6

Nasal Valve Correction

The parts involved in the function of the nose are nasal septum, inferior nasal concha, and nasal valves. The nasal valve is divided into external nasal valve which located in the area of the nostrils and internal nasal valve located in the upper area of the nasal valve area between the anterior septum and the caudal lateral cartilage. If two valves are abnormal, it may cause a stuffy nose. In addition, to correct the deviated nose, it is essential to identify and correct the abnormality of the valve in the second nose surgery.

In-Depth Examination

In-depth examination through a three-dimensional CT analysis

Before the surgery, we conduct a precise and in-depth examination of the patient’s nasal structure with a 3D-CT analysis on the nasal bones, the shape, conditions, and size of nasal soft tissues for safe and accurate operation.

A deviated nose and nasal septum deviation

In the case of congenital nasal septum deviation or if the bones and cartilages were bent by external injuries, a deviated nose should be corrected for both aesthetic reasons and functional improvements, such as breathing.

Nasal Obstruction

Inferior turbinate hypertrophy may cause nasal obstruction and rhinoplasty can help treat such cases.

Various forms and sizes of septal nasal cartilages

When using septal nasal cartilages for rhinoplasty, we analyze the sizes and shapes of septal nasal cartilages accurately for precise surgical planning.

The size of Nasal Bone

After analyzing the size and shape of nasal bones if the size needs to be corrected, nasal osteotomy may be performed during the rhinoplasty procedure.

*A 3D-CT analysis may not be required depending on your physician’s opinion.

Cautions Before Rhinoplasty

  • Cease intake of medication that interferes with hemostasis (your body’s natural ways of stopping bleeding). This could include hormonal medications, vitamin E, aspirin, etc. Patients who take such medication to treat serious conditions, such as heart issues, should inform their consulting doctor.
  • Cigarettes cause coughing and sneezing, by increasing phlegm and disturbing the airways, which can cause damage to the surgical area. Similarly, a serious cold can also cause respiratory complications and should be discussed with your doctor before the surgery.
  • Make sure you remove contact lenses, makeup, all accessories, manicures, and pedicures before moving to the hospital.
  • Start fasting from four hours before the surgery.
  • It’s recommended that the patients wear clothes that are easy to take off and put on in order to minimize irritation.
  • On the day of surgery bring a guardian or use public transportation.

Post-Operative Management

  • To minimize swelling, keep the surgical site on a higher position than your heart.
  • Use ice packs to control the swelling up to three days after your surgery.
  • Avoid friction, pressure, rubbing surgical sites and its surrounding for at least one month after your operation.
  • Smoking or drinking can delay your recovery; avoid them for at least four weeks after the operation.
  • It’s ok to engage in light exercises, such as walks, after the operation. Heavy exercises such as tennis, aerobics, and swimming should be avoided for at least three to four weeks after the operation.

With more than 20 years of experience, Surgeons specialized in Nose Surgery.

JW nose team constitutes 3 nose specialists with know-how from various clinical experiences, as well as dedication to achieving the best result by medical research.