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Steven M. Denenberg, M.D.
Dr. Denenberg's articles on Medium.com.
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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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Next: an example of the solid advice Dr. Denenberg gives patients on RealSelf.com.
Get that advice for your own situation by emailing your photos to Dr. Denenberg.

Questioner: Would I be a good candidate for rhinoplasty?
If so, would it be a complicated procedure? What kind of improvement is reasonable to expect? Apologies for the radiator in the background.
(Questioner submitted photos)

Dr. Denenberg's answer: Yes, of course you're a good candidate
If I were able to demonstrate on a computer the kinds of change that I would recommend for your nose, I would lower the hump, and bring the entire nose, including the tip, back closer to your face.

Making those changes would make the nose look longer, though, so we'd raise the tip of your nose, so the nose doesn't look too long after surgery. 

It's hard to make changes, however, on photos this small. If you post larger photos, it'd be possible.

And yes, it would be a complicated procedure, because of the myriad changes that are on the list of things to do.

Link to this question on RealSelf.com