Crooked Nose and Tilted Nostrils, How Revision Rhinoplasty Can Correct Them
A common worry for people who have had rhinoplasty is finding that the nose needs reshaping because of a crooked nasal axis or tilted nostrils, which affect the face, along with other problems (depending on each case). First, it is important to understand the real cause of the problem.
A tilted nasal base can happen and is common even in people who have never had nose surgery, because face shapes and facial bone structures differ. Many people do not notice that their nose is tilted because the problem is minor.
A tilted nasal base or axis is one problem that makes the face look unbalanced
How to Tell If Your Nose Is Crooked, or the Nasal Base or Tip Is Tilted
- Look at your face from the front and check whether the nose is misshapen or tilts to one side.
- A tilted nasal tip can be caused by the tip cartilages (alar cartilages) pressing against the tip, or by a deviated septum that is out of proportion.

Does a Tilted Nose Affect Your Health?
- difficulty breathing
- catching colds more easily than other people
- an unbalanced face
What Causes a Tilted Nose
- a problem with the septum
- an accident, or a hard knock or blow
- a broken nasal bone
- a nasal bone that has been twisted or crooked since birth, or previous rhinoplasty or the aftercare that followed it
After rhinoplasty at the nasal base, the nasal axis takes 3 months to 1 year to heal and settle. During this time, knocks from daily life or other causes can make the nasal axis tilt.
S45 Clinic reshapes a tilted nose to help give a more balanced face
Medical techniques used in nose reshaping to correct a tilted nose include:
- structural surgery to straighten the central bone structure and adjust the nasal base (open rhinoplasty technique)
- reshaping the nasal base so it is better balanced with the face
- septal extension
- nasal osteotomy (reshaping the nasal bones)
- balancing the tissue of the alae (the fleshy sides of the nostrils) when the nostrils are tilted
- other techniques
The surgeon decides how to correct a crooked nose and tilted nostrils (revision rhinoplasty) based on what is suitable for each case and the problem involved.

Steps in Correcting a Crooked Nose and Tilted Nasal Base (Revision Rhinoplasty)
- The surgeon examines your face in detail from the front, the side and from below, to assess the balance between both sides of the face, the alae and the nostrils.
- After the assessment, the surgeon recommends techniques to straighten the nose and balance it with the face, and explains precautions and how to look after yourself after nose reshaping.
- If you have a history of blocked or difficult breathing, tell the doctor while you are getting advice.
After correcting a crooked nose or tilted nostrils, you may have swelling and bruising, which varies from person to person and gradually improves within 7 to 14 days

Rhinoplasty and tilted nose correction at S45 Clinic by experienced surgeons







