Crooked Nose Melbourne

At Melbourne ENT, based in St Kilda East, our specialist ENT surgeons – Dr Stephen Kleid and Dr Simon Braham – offer expert diagnosis and treatment for patients with a crooked nose. Whether you’re experiencing breathing issues or seeking cosmetic improvement, our clinic provides comprehensive care tailored to your needs. With decades of surgical expertise and access to advanced diagnostic tools, we are dedicated to helping you breathe better and look your best. Our patient-centred approach ensures every aspect of your health and comfort is addressed from initial consultation through to post-operative follow-up.

What is a Crooked Nose?

A crooked nose refers to a visible deviation or bend in the nasal structure, causing it to appear asymmetrical or off-centre. This condition may result from trauma, congenital deformities, or previous surgery, and can affect both the appearance and function of the nose. In many cases, a crooked nose is associated with internal nasal issues such as a deviated septum, which can impair airflow and contribute to breathing difficulties, snoring, and chronic sinus problems.

Crooked noses may present as C-shaped, S-shaped, or shifted to one side entirely. The underlying cause might involve the nasal bones, cartilage, or septum. In some instances, the crooked appearance may worsen over time due to scarring, injury recurrence, or age-related changes in cartilage and skin. A crooked nose can also have psychological consequences, as patients may feel self-conscious about their appearance and develop concerns about their facial balance and symmetry. This condition is both a cosmetic and functional issue, often requiring a multifaceted approach to treatment.

Common Symptoms of a Crooked Nose

A crooked nose often leads to a combination of physical and psychological symptoms. Nasally, patients may feel that one or both sides of their nose are blocked, especially during exertion or while sleeping. Breathing may become laboured or noisy, and there may be a sensation of persistent congestion even in the absence of a cold. Patients may also experience frequent nasal dryness or nosebleeds due to uneven airflow and irritation inside the nasal passages.

In terms of sinus and respiratory health, a crooked nose may obstruct normal sinus drainage, resulting in recurring infections, pressure, or facial pain. Some individuals develop chronic post-nasal drip, contributing to coughing or throat clearing. The obstruction can exacerbate or contribute to snoring and even obstructive sleep apnoea, leading to poor sleep quality and daytime fatigue.

From a cosmetic standpoint, the visual asymmetry of a crooked nose can affect how a person perceives their overall appearance. Individuals may avoid photos, feel uncomfortable in social settings, or seek to hide their facial profile. These aesthetic concerns are often deeply personal and may significantly impact mental wellbeing, especially if the condition has developed from trauma or failed prior surgery.

Who is Affected by a Crooked Nose?

A crooked nose can affect individuals of any age and gender. It commonly arises in teenagers and young adults following sports injuries or accidents, but it can also be present from birth as a congenital abnormality. Many adults seek correction for a crooked nose after years of dealing with poor nasal airflow or dissatisfaction with their appearance. The condition can also occur in individuals who have had previous nasal surgeries that did not yield the desired outcome, making them candidates for revision procedures.

Those who are more physically active or play contact sports may be at increased risk of nasal trauma. People with chronic allergies or inflammation may also experience structural changes over time that lead to or worsen nasal deviation. Additionally, anatomical predispositions such as asymmetrical cartilage growth or connective tissue conditions may make someone more likely to develop or notice a crooked nose.

For many patients, the decision to seek treatment arises when the functional impact – such as difficulty breathing or recurrent sinus issues – begins to affect their quality of life. Others may pursue treatment purely for cosmetic enhancement. Melbourne ENT supports all patients in evaluating their options, regardless of the underlying cause.

Diagnosis and Evaluation at Melbourne ENT

At your first consultation at Melbourne ENT, our surgeons will perform a detailed and personalised assessment. The consultation begins with an in-depth medical history to understand when the nasal asymmetry began, whether it was associated with trauma, and how it has affected breathing, sinus health, or appearance. This is followed by a comprehensive physical examination, where the external structure of the nose and internal anatomy are carefully assessed.

Our team uses advanced diagnostic tools to ensure accuracy in evaluation. A nasal endoscopy, performed using a small camera, allows direct visualisation of internal nasal structures such as the septum and turbinates. Imaging, typically through a CT scan or X-ray, is used to identify any sinus involvement, bone fractures, or anatomical variations that may not be apparent on physical examination alone.

If inflammation or allergy is suspected to contribute to symptoms, additional assessments such as allergy testing or sinus cultures may be conducted. By integrating clinical examination with imaging and functional assessment, Melbourne ENT ensures that treatment recommendations are well-informed and tailored specifically to each patient’s unique anatomy and concerns.

Treatment Options for a Crooked Nose

Treatment for a crooked nose is based on the severity of the deviation, the symptoms experienced, and the patient’s aesthetic goals. In mild cases, medical therapies may provide temporary relief. These can include the use of nasal sprays, saline rinses, antihistamines, or corticosteroids to manage inflammation and improve breathing. However, such treatments do not correct the underlying structural issue and are best suited for symptom management rather than long-term correction.

Surgical intervention remains the most effective approach for long-term correction. Septoplasty is performed to straighten the internal nasal septum and improve airflow. Rhinoplasty is used to reshape the external nose, restoring symmetry and balance. In cases where both structure and function are compromised, septo-rhinoplasty is performed to address both internal and external concerns in one procedure. Revision rhinoplasty is also available for patients dissatisfied with the outcomes of previous surgeries or who have developed new nasal issues over time.

Each procedure is planned meticulously using digital imaging and detailed preoperative consultations. Melbourne ENT surgeons take the time to understand each patient’s concerns and goals, ensuring the best possible aesthetic and functional outcomes. Our procedures are performed in accredited surgical facilities with full anaesthesia and comprehensive post-operative care.

When is Surgery Recommended?

Surgery becomes necessary when medical treatments do not alleviate symptoms or when the crooked appearance of the nose causes significant concern for the patient. Persistent nasal obstruction that interferes with sleep, physical activity, or daily comfort is a common reason for recommending surgery. Similarly, chronic sinus infections linked to structural issues often require surgical correction to restore proper drainage and function.

In cases of trauma or failed prior surgery, revision procedures are offered to correct deformities and restore both function and form. Early surgical intervention can also prevent the progression of symptoms and reduce the likelihood of complications later in life.

At Melbourne ENT, the decision to recommend surgery is made after careful evaluation and discussion with the patient. We consider all aspects of a patient’s health, lifestyle, and goals before proceeding. Our team is committed to ensuring every patient feels informed, supported, and involved in their treatment journey.

Recovery and Prognosis

Recovery following nasal surgery is generally smooth when proper post-operative care is followed. In the initial days after surgery, patients may experience mild to moderate swelling, bruising, and discomfort around the nose and eyes. Pain is usually well controlled with prescribed medications. A nasal splint is often placed to support the healing tissues and maintain alignment during the critical first week.

Patients are advised to avoid strenuous activities, nose blowing, and any actions that could disrupt the healing process. Saline rinses may be used to keep the nasal passages clean and moist. Most individuals are able to resume light daily activities within one to two weeks, while complete resolution of swelling and refinement of the nasal shape may continue over several months.

The prognosis after corrective surgery for a crooked nose is generally excellent. Patients commonly report dramatic improvements in their ability to breathe, sleep, and engage in physical activity without discomfort. The cosmetic outcomes are also typically very satisfying, restoring balance and symmetry to the face. Long-term follow-up ensures that healing progresses as expected and any concerns are promptly addressed. Our surgeons provide clear guidance and support throughout the recovery process, helping you achieve optimal results.

Risks or Complications if Left Untreated

When a crooked nose is left untreated, especially when associated with functional issues, the consequences can extend beyond cosmetic concerns. Chronic nasal obstruction may lead to persistent mouth breathing, which can dry the throat, contribute to dental problems, and exacerbate snoring or sleep apnoea. Individuals may experience frequent sinus infections due to impaired drainage, leading to recurring facial pressure, headaches, and reliance on antibiotics.

Untreated nasal deformity can also worsen over time, especially if it results from an injury. Structural weaknesses may lead to progressive deviation or collapse, complicating future correction.

Addressing a crooked nose early, particularly when symptoms are bothersome or escalating, can significantly improve QOL – quality of life.

At Melbourne ENT, we emphasise the value of timely evaluation and intervention to prevent avoidable complications and help patients feel and function at their best.

Concerned About a Crooked Nose?

Melbourne ENT is here to help. Our specialists, Dr Stephen Kleid and Dr Simon Braham, bring decades of expertise in both functional and cosmetic nasal surgery. We are committed to delivering safe, personalised care with excellent outcomes. From the initial consultation through every step of your recovery, our goal is to ensure you receive the best possible support and results.

Book your consultation:

Dr Stephen Kleid
(03) 9038 1630

Dr Simon Braham
(03) 9038 1311

Take the first step toward improved breathing – contact Melbourne ENT for booking.

Further Reading

• Read about Melbourne ENT’s Septoplasty Melbourne – Deviated Nasal Septum Correction
• Read about Melbourne ENT’s Septo-Rhinoplasty Melbourne
• Read about Melbourne ENT’s Rhinoplasty Melbourne – Nose Reshaping Surgery
• Read about Melbourne ENT’s Nose Anatomy for Nose Surgery Patients
• View Before and After Photos