The 4 types of deviated nose (or crooked nose)
There are 4 main categories of deviated nose . We speak of a deviated nose when a part of the nose goes to the left or right of the face. The result is an asymmetrical face, aesthetically unbalanced. The nose can be more or less twisted and only one part of the nose can be affected or all 3 at the same time. Absolutely no one on earth has a perfectly asymmetrical face, there are always slight discrepancies. Those on the nose are the most obvious because the nose detaches from the face and points forward. Discover the anatomy of the nose .
These specifics of nose orientation are in addition to the 9 general nose shapes .
Deviated base of the nose
When the base of the nose is crooked, it will pull the rest of the nose to the left or right. The nose will be more or less crooked. The bridge of the nose is in a straight line and the tip of the nose is symmetrical with the bridge, but since the base of the nose is deviated, the entire nose tilts. This can lead to an asymmetrical stretching of the upper lip.
For people with a large nose, the difference will be even more visible.
The correction of a deviated nose by the ENT surgeon will take place at the level of the saddle of the nasal root, the sellion, and the nasion. By operating on the nasal and ethmoid bones, the surgeon will straighten the entire nose. The operation is quite extensive and will be performed under general anesthesia with 1 or 2 nights in the hospital.

Deviated nose bridge
When the bridge of the nose is deviated , it is the crest of the nose that will be twisted. To the left, to the right or rounded. The base of the nose and the tip of the nose will be straight and asymmetrical but the bridge of the nose will undergo a deformation.
If the person wants their nose straightened for aesthetic reasons, then the surgeon will perform a rhinoplasty. This will operate on the nasal bone and the triangular cartilages (septal cartilage and lateral cartilages).
If the nasal passages are blocked (problems breathing through the nose), the surgeon may also perform a septoplasty. This operation, which has a functional purpose, is reimbursed by social security.

Crooked nose tip
When the tip of the nose is crooked, only the tip of the nose is deviated. The base and bridge of the nose are straight and asymmetrical.
Often, this type of nose will only cause aesthetic problems but will not prevent normal breathing.
The surgeon will operate on the septal cartilage, but also and especially on the large alar cartilages. He may perform an ablation, a graft, or sutures to straighten the tip of the nose.

Stop and tip of the nose deviated
The deviation can affect the base, the bridge and the tip of the nose. But several deviations can accumulate: base and bridge, bridge and tip, base and tip… Similarly, if one part leans to one side, the other part can lean to the same side and accentuate the asymmetry or lean to the opposite side and put the nose back on its axis after describing a curve. There are multitudes of deviated noses!
In the simulation shown on the right, this man’s nose bridge is pointing to the left and his nose tip is pointing to the right. The nose therefore forms a curve, and one nostril is stretched while the other is flattened.

ILLUSTRATION IMAGES
A deviated nose can add a distinctive touch to the face, a little cuteness! If the deviation of the nose creates a complex and the person can no longer stand to see their face in the mirror, this can lead to a loss of self-confidence. Rhinoplasty can then be a solution to straighten the nose and make it asymmetrical and in harmony with the rest of the face. This type of decision must be carefully considered and not made hastily. A before/after simulation from a photo can help you imagine what you would like to achieve and discuss it with a cosmetic surgeon.
Want to simulate a rhinoplasty ?
Upload your front-facing photo and tell us what type of changes you’d like to see on your nose. We’ll send you a modified photo to show you what it could look like. You can then show this photo to your surgeon.