Sometimes, a patient’s concern regarding their nose is less about the cosmetic appearance but more about the breathing difficulty that can occur as a result of trauma.
In this case, my patient suffered an injury some years ago, and his nose was slightly pointed towards the right. Appearance wise it wasn’t really bothering him, but he found himself unable to breathe through the left side.
As part of the procedure it would be impossible to improve his nasal airway without also improving the external appearance of his nose through aligning the bones and cartilage. This is termed as functional septorhinoplasty (ie. septorhinoplasty performed for functional reason).
During surgery it was discovered that his cartilage was acutely angulated, with multiple pieces of fragments overlapping each other. These all needed to be removed and repaired and his nasal bones were re-broken and realign.
The post-operative photos show a straighter nose, but more importantly, his nasal airway has improved significantly leaving him able to breathe better, and consequently sleep much better at night.