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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What's the best treatment for my mom? She wants to look younger, and has already had a rhinoplasty
This my mom she did a rhinoplasty before years ago and she doesn't feel good about her face and nose. Does she need a revison rhinoplasty? And does she need a face left..her doctor said she is too early for face left. She hates her face and i want her to feel good about her self what does she need to feel younger and prettier?
(Questioner submitted photos)
Dr. Denenberg's answer: Your mom could look better -- and younger -- with a revision rhinoplasty
Your mom's rhinoplasty left her with a very long nose, and a long nose makes a face look older. Making a substantial elevation of the tip of the nose, even in a revision, is quite predictable, but only in the most expert of hands, so you must see before and after photos of a doctor's revision work in shortening noses before you hire a doctor.
Her nose could also be thinner, and the tip made less prominent from the front. See the attached video and the Web reference link for examples of what can be accomplished.
I tend to agree that it's hard to make a meaningful improvement in the face when the skin is still so thick and strong and smooth, and the neck line is so good. If I were your mom, I'd address the nose, and wait on the face!
Link to this question on RealSelf.com