Ask a Surgeon - Nose Reshaping - I want plastic surgery to straighten my nose and make it a lot smaller. I have a...

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I want plastic surgery to straighten my nose and make it a lot smaller. I have a very...

Q:

I want plastic surgery to straighten my nose and make it a lot smaller. I have a very big nose. I also have a nasal deformity that is very noticeable, showing my left nostril closed and my right nostril open. It needs to be totally reconstructed. I have problems breathing through the closed nostril on the left side. If I hold my right nostril closed, I can't breath through my left nostril at all!

A:

Thank you for your question. It seems that you have a functional problem and a cosmetic imbalance with the nose. Obviously, it is hard for me to analyze your condition without any photographs or a personal consultation. It appears that you need your septum reconstructed to straighten the nose and alter the other nasal cartilages to recontour the nose. With such extensive surgery, my personal preference would be an open septorhinoplasty. Some insurance companies might cover the septal part of the procedure (normally the surgeon has to request preauthorization before he/she can proceed with surgery). This technique allows one to expose the underlying cartilages without deforming them and trim, suture, or graft certain areas to give a long lasting result.