The nasal septum is the wall that divides the inside of the nose into a left
airway and a right airway. When the septum doesn't sit in the middle, it
can obstruct airflow through the nose instead of guiding the airflow. We
then call it a "deviated septum," and that deviated or crooked septum
can be straightened during a rhinoplasty.
Most commonly, the deviation of the septum cannot be seen from the outside of
the nose. The deviation that obstructs the airflow is deeper inside the
nose, where you can't see it. This patient's septum was so bad that you
could see it before surgery.
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Is It Possible to Make a Nose Shorter and Less Bulbous with Rhinoplasty?
I have a long nose with a bump and a big tip which I would really like to correct. Is there a way to correct all of these problems at once?
(Questioner submitted photos)
Dr. Denenberg's answer: Your nose is more projecting than it is long
Hi. You have a nose that is strong in its forward projection away from the face. Lessening that strength is called "deprojecting" the nose.
"Length" is the measurement of the nose from where it begins between the eyes, down the bridge of the nose to the tip. So a nose with a droopy tip is "long," but Pinocchio had a "projecting" nose.
Deprojecting a nose involves complicated techniques on the tip cartilages, because it is those tip cartilages that hold the tip out away from your face. Be sure to see before and after photos of other patients whose noses were deprojected by the surgeon you are considering using, so you can see that he knows how to do this operation.
Link to this question on RealSelf.com