Nose Contour / Irregular Shape
The nose is a central feature of the face and is often the first organ noticed by other people. Anytime there is a problem with the nose, it is easily recognized by both the individual and others. An irregular shape or abnormal contour of the nose may be mild or obvious. In most people the presence of abnormal nose contour or shape is only of a cosmetic concern. An irregularly shaped nose can also result in a functional deformity often resulting in blockage of the nasal passageway, loud breathing, snoring, nose bleeding, decreased taste or smell and or recurrent episodes of sinusitis.
There are many causes of an irregularly shaped nose of which one of the most common is a crooked septum (the wall that runs in the middle of the nasal cavity). The septum is made of both bone and cartilage and can be deviated because of:
• A problem at birth
• Scar tissue
• Collapse or weakening of the tissues
• Medical disorder
Birth defects associated with an irregular nose include a cleft lip or cleft palate or a mass in the nose. Very often any disorder of the nose associated with a birth defect usually requires several staged surgical procedures to obtain the desired cosmetic result.
Nasal trauma is also a common cause of an irregularly shaped nose. A fist to the nose can lead to bleeding in the septum as a result of a fractured septum or a nasal fracture. Bleeding of the septum can result in a saddle nose- in this case, after the bleeding subsides, the upper or middle third of the nose shrinks inwards and an obvious external deformity or “saddle” can be seen. Fracture of the nasal septum almost always results in blockage of the nasal passageways or produces obvious cosmetic changes. Individuals who have suffered nasal trauma should consult with an ear, nose and throat specialist within a week to correct the deformity before it becomes more permanent.
With advancing age, patients develop some degree of weakening of the nasal structures that can alter shape of the nose. There are also several medical disorders that can alter shape of the nose. These include disorders like sarcoidosis, relapsing polychondritis and Wegener disease.
Patients may seek help because of a perception that they have an irregular nose. In many cases, the irregularly shaped nose is only of cosmetic significance. For example, some individuals may have a large nose or the tip may be round and large and they want it corrected.
There are two ways to treat an irregularly shaped nose. One is Non-surgical and the other is surgical. The non-surgical methods of correcting an irregular shaped nose are based on the technique of either hiding the flaw or creating an illusion of a pretty nose. There are various cosmetic creams, mascara and nose concealer shades that can be used. The surgical options include use of dermal fillers to elevate the area of depression on the nose and restoring symmetry. More radical correction of the nose requires the experience of a Cosmetic or ENT surgeon. The only way to know what is the best procedure for you, it is important to consult with a healthcare professional.