Male Rhinoseptoplasty: Correction of C-Shaped Deviation (1 Year Post-Op)

A young man consulted me with a classic combination of issues typical of post-traumatic or congenital nasal deformities. He was concerned about both aesthetic aspects—noticeable crookedness and a dorsal hump—and functional ones—an almost total lack of normal nasal breathing. In the “Before” photo, it is clearly visible that the patient holds his mouth slightly open, as breathing through his nose was extremely difficult for him.

Initial Anatomical Picture (Before Surgery)

After conducting a detailed examination and analyzing the preoperative images, I identified several key structural defects:

• Nasal axis deviation (frontal view): A pronounced C-shaped deviation of the dorsum and tip from the facial midline was observed. Such a deformity is always associated with severe deviation of the cartilaginous and bony parts of the nasal septum, completely obstructing one of the nasal airways.
• Profile line: A large bony-cartilaginous hump was visible. The nasal tip was slightly drooped, making the profile visually heavier.
• Specifics of male rhinoplasty: Working with male faces requires a special approach. My main goal was to correct all defects while preserving masculine, strong facial features—no excessive narrowing of the bridge or over-rotation of the tip, which might be permissible in female rhinoplasty.

Surgical Procedure and Objectives

I performed a comprehensive rhinoseptoplasty. The work was carried out simultaneously in two directions:

1. Restoration of breathing (Septoplasty): I performed a complete reconstruction of the deviated nasal septum, returning it to a strictly central position and clearing the airways.
2. Aesthetic modeling: To center the nose, I performed a controlled osteotomy, aligning the bony framework along the facial midline. Then, I carefully removed the hump, forming a smooth, strong, and straight masculine bridge. The nasal tip was narrowed, corrected for asymmetry, and securely fixed at an ideal straight angle for men (around 90 degrees).

Result After 1 Year

After 1 year post-surgery, when the tissues have fully recovered and all residual swelling has resolved, we can evaluate the final result:

• Perfect symmetry: The nose became completely straight and centered; the previous C-shaped slope of the bridge disappeared. The face achieved proper visual balance.
• Refined profile: The hump is completely removed. The new nasal dorsum looks natural, harmonizing with the chin and forehead line while preserving the patient’s masculine identity.
• Health and comfort: The patient’s mouth is closed in the “After” photo—this is the primary indicator that nasal breathing has been fully restored.

My patient got rid of constant nasal drops, gained self-confidence, and is completely satisfied with his quality of life and new appearance.