What Is Nasal Deviation?
Nasal deviation refers to asymmetry in the nose that may affect either the internal structures (such as the nasal septum) or the external appearance. The most common type is septal deviation, where the cartilage and/or bone inside the nose is displaced to one side. External deviation involves visible misalignment of the nasal bones or cartilage, often affecting the overall symmetry of the face.
Causes of Nasal Deviation
Nasal deviation can be congenital or acquired. Common causes include:
- Genetic predisposition
- Trauma during birth
- Childhood injuries or falls
- Irregular cartilage growth during adolescence
- Sports accidents or physical trauma
In many cases, the deviation can worsen over time, leading to increasing discomfort and cosmetic dissatisfaction.
What Problems Can Nasal Deviation Cause?
Nasal deviation affects not just aesthetics, but also nasal function. Potential symptoms include:
- Difficulty breathing through the nose
- Chronic nasal congestion
- Mouth breathing habit
- Sinus infections and headaches
- Snoring and sleep apnea
- Facial asymmetry and self-image concerns
How Is Nasal Deviation Diagnosed?
Diagnosis typically involves a clinical examination by an ENT specialist or plastic surgeon. Tools and methods used:
- Physical examination of internal and external structures
- Endoscopic nasal exam for internal assessment
- CT scan for detailed bone and cartilage evaluation
- Photographic analysis for external asymmetry
Treatment Options
The only definitive solution for nasal deviation is surgical correction. Medications or nasal sprays may offer temporary relief but cannot realign bone or cartilage. There are two primary surgical approaches:
1. Functional Septoplasty
A procedure aimed at correcting internal deviation (deviated septum) to improve airflow. Usually performed under general anesthesia.
- Focuses on function, not external appearance
- Surgery takes around 30–60 minutes
- Nasal splints or tampons may be used temporarily
2. Aesthetic Rhinoplasty
This surgery addresses both internal deviation and external cosmetic concerns. It’s the most commonly chosen option.
- Corrects both breathing and appearance
- May include cartilage reshaping and bone work
- Can lift the nasal tip or reduce a dorsal hump
- Final result: balanced, breathable, and aesthetically pleasing nose
What to Expect from Surgery
The surgical journey typically includes:
- Preoperative consultation and 3D/photo analysis
- Anesthesia planning (general anesthesia is standard)
- Surgical correction (septoplasty, rhinoplasty, or both)
- Placement of splints or nasal cast
- Postoperative care and monitoring
Recovery Process
- Swelling, congestion, and bruising are common during the first 3 days
- Nasal tampons removed within 5–7 days
- Most patients return to social activities within 10 days
- Around 80% of swelling subsides in the first month
- Final results are typically seen after 6 to 12 months
Benefits of Surgery
- Improved nasal breathing
- Reduction in sinus-related complaints
- Enhanced facial harmony and nose–face proportion
- Boosted self-confidence and quality of life
- Less snoring and improved sleep quality
Potential Risks and Considerations
Like any surgery, rhinoplasty and septoplasty carry some risks:
- Infection
- Bleeding
- Shape irregularities
- Asymmetry
- Temporary reduction in smell
These risks are minimized when performed by an experienced plastic surgeon.
Frequently Asked Questions (FAQ)
No. It may remain stable, but it will not self-correct over time.
Not during the procedure, as it’s performed under general anesthesia. Postoperative discomfort is usually mild and manageable.
Yes. When rhinoplasty is combined with septoplasty, both function and form are addressed.
Modern silicone splints are much more comfortable and cause minimal discomfort during removal.
With closed rhinoplasty, there are no external scars. With open technique, a small scar at the nasal base may be present but fades over time.
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