Analysis and correction of the crooked nose

The crooked nose is defined as a nose in which the midline is off center without tissue loss. This leaves a nose that is angulated at the nasion or the rhinion. Surgical correction with angulation of the nasion includes medial osteotomies, two transverse oblique osteotomies, one transverse root osteotomy and one lateral osteotomy. Angulation at the rhinion includes separation of one upper lateral cartilage from the septum, shortening of one upper lateral cartilage, weakening of the dorsal strut with a double cut technique and resuturing the upper lateral cartilage septal complex back together.