The short answer is maybe-but usually yes! As stated in previous blogs rhinoplasty is an essential procedure in our practice. As you know the nose is made of skin bone and cartilage. It’s essential to understand that with the new internal structure, the skin must shrink wrap over the newly restructured bones and cartilage.
The position of the nose and its appearance being straight is determined by several factors. Most notably is the bone structure. Also, the internal cartilaginous and bony septum play a significant role in deciding whether the nasal pyramid architecture appears to be centralized or crooked.
Once I surgically address the cartilaginous components of the nose then I address the septum both bony and cartilaginous edit’s internal location and then realign those structures as best possible. Then breakage of the external bony structure must then occur to align the external components with the internal components. These combinations of procedures and techniques are helpful and essential to straightening the crooked nose.
I prefer internal packing or splinting as well as external taping and splinting to reduce that space and to maximize the permanency of the newly aligned structures to maintain the new straightened nose. Sometimes grafting is required to complete the job. Grafting may be used strategically to camouflage imperfections that otherwise may not be eliminated.
So, yes, the crooked nose can be straightened but remember- crooked noses have a strong tendency to remember where they were and may try to drift back. I take special measures operatively and postoperatively to minimize this drifting back.