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A crooked or asymmetrical nose is more than a cosmetic concern. It can affect breathing, cause constant congestion, and significantly impact how confident you feel in everyday life. This is one of the most common reasons people seek crooked nose rhinoplasty or nose straightening surgery, and demand is especially high in London.
At Berkeley Square Medical, our specialist rhinoplasty surgeon has extensive experience correcting crooked, twisted, or deviated noses using advanced techniques that improve both appearance and nasal function. This guide explains why noses become crooked, which treatments can fix them, when surgery is necessary, and what results you can expect after correction.
A crooked nose can be caused by trauma, genetics, a deviated septum, or previous surgery, often affecting both appearance and breathing.
Mild cosmetic asymmetry can be improved with non-surgical nose straightening using dermal fillers, but this only offers temporary visual correction.
Crooked nose rhinoplasty provides the most reliable and permanent results by straightening bones, reshaping cartilage, and correcting septal deviation.
Surgical correction often improves airflow and breathing, especially when combined with septoplasty.
Recovery typically progresses over 6–12 months, with major swelling resolving in the first few weeks.
A crooked nose occurs when the nasal bones, cartilage, or septum are misaligned, causing the nose to look off-centre, twisted, or uneven. This can affect one or multiple parts of the nose — the bridge, tip, or midsection. Common reasons include:
A past nasal fracture or impact injury that didn’t heal properly is one of the most frequent causes. Even minor trauma can shift cartilage or bone just enough to create long-term asymmetry.
Some people are simply born with a crooked or asymmetric nasal structure. Variations in cartilage growth, bone shape, or septal alignment can all contribute to a naturally uneven appearance.
A deviated septum occurs when the cartilage dividing the nostrils leans to one side. This can make the external nose appear crooked and may also cause breathing problems.
A poorly executed rhinoplasty elsewhere can leave the nose looking off-centre or twisted. In these cases, revision rhinoplasty is required to restore both symmetry and structural support.
If your crooked nose affects breathing, causes congestion, or impacts your confidence, surgical correction is often the most effective long-term solution.
| Treatment Type | Best For | Can It Straighten the Bone? | Can It Improve Breathing? | Results Duration |
|---|---|---|---|---|
| Makeup Contouring | Mild cosmetic imbalance | No | No | Temporary (makeup only) |
| Dermal Filler (Non-Surgical Rhinoplasty) | Minor asymmetry, smoothing bumps | No (adds volume only) | No | 6–12 months |
| Botox for Nostril Flare | Minor muscular asymmetry | No | No | 3–4 months |
| Septoplasty | Deviated septum, functional issues | Partially | Yes | Permanent |
| Crooked Nose Rhinoplasty (Surgical) | Moderate–severe crookedness | Yes | Yes | Permanent |
| Revision Rhinoplasty | Correcting previous surgery | Yes | Yes | Permanent |
Rhinoplasty for a crooked nose is a highly specialised procedure that aims to reposition the nasal bones, reshape the cartilage, and straighten the septum to create a more symmetrical, balanced appearance. In many cases, it also improves breathing by clearing blockages in the airway.
There are two main surgical approaches:
Depending on your individual anatomy, your surgeon may use several techniques during your procedure:
Surgery is typically performed under general anaesthetic and lasts between one and three hours, depending on the complexity of correction needed. Your surgeon will personalise every step to ensure not just a straighter appearance, but also improved nasal function where necessary.
At Berkeley Square Medical, we charge a convenient all-inclusive price of £8950.00 for our rhinoplasty procedures. (Price as of November 2025)
This price includes all pre-surgery assessments and first consultation, all medications, garments, and tools used during the surgery, and the complete follow-up regimen.
There may be rare cases where after rhinoplasty, the nose becomes crooked again.
In these instances, revision surgery may be performed to correct any issues. This surgery is typically less invasive than primary rhinoplasty and has a quicker recovery time of six weeks or less.
Our London clinic often has patients coming to us after having unsatisfactory results from previous nose surgeries in other countries. As a result, our consultant rhinoplasty surgeon is one of the most experienced specialists in the world when it comes to secondary surgery.
One of the best ways to judge the experience of the nose surgeon is to ask for photos of their previous work. You can see before and after photos of our previous rhinoplasty patients on our dedicated page.
After your nose surgery, your recovery will follow a gradual, step-by-step process. While your final results will take time to fully appear, many patients start noticing an improved nasal shape and breathing comfort within weeks.
Here’s what to expect during recovery:
Week 1: You’ll go home with a small external splint and possibly internal nasal packing. Mild swelling, bruising around the eyes, and some congestion are normal. Pain is usually manageable with prescribed medication. Most patients return for splint and stitch removal around day 7.
Weeks 2–3: Major swelling and bruising begin to subside. You’ll feel more comfortable resuming light activities or returning to desk-based work. Avoid strenuous activity or exercise during this stage.
Weeks 4–6: The shape of the nose becomes more refined. Breathing through the nose often improves, especially if septoplasty was performed.
3–6 months: Residual swelling continues to fade, particularly at the tip. Most people feel confident in their appearance by this stage.
12 months: This is when the final result is considered fully healed — scars (if any) are well faded, and the nasal structure has settled into its new, permanent form.
Results and benefits include:
While complications are rare, it’s important to follow your surgeon’s aftercare guidance carefully and attend all scheduled follow-ups to ensure optimal healing.
For patients with mild cosmetic deviations and no breathing issues, non-surgical treatments may offer a temporary improvement.
Using hyaluronic acid fillers, a skilled practitioner can smooth out bumps or subtly balance asymmetries to create the appearance of a straighter nose. This is a quick, injectable treatment with results that last 6–12 months.
However, there are limitations:
If your crooked nose affects both your appearance and nasal function, or if you’re looking for permanent results, surgical rhinoplasty remains the most effective option.
Crooked nose rhinoplasty is one of the most technically complex forms of nose reshaping surgery. It requires not just aesthetic skill, but also a deep understanding of nasal anatomy and airway function. Choosing the right specialist is essential.
When considering surgery, look for:
At Berkeley Square Medical, we are proud to be one of the UK’s most sought-after clinics for rhinoplasty – including for correcting crooked or twisted noses. Our consultant-led team offers:
If you’re ready to explore your options for straightening a crooked nose and improving your quality of life, book a personalised consultation with our expert team at Berkeley Square Medical. We’ll take the time to understand your goals, assess your nasal structure, and guide you through every stage of your treatment journey.
Mild cosmetic asymmetry can sometimes be improved with dermal fillers, makeup contouring, or Botox for nostril flare. However, these treatments cannot straighten bone, reposition cartilage, or correct breathing problems. For permanent structural correction, rhinoplasty is required.
A crooked nose can result from genetics, a deviated septum, past trauma, or cartilage and bone that healed unevenly. In some cases, a previous rhinoplasty that did not properly address symmetry can also leave the nose off-centre.
Most patients describe the discomfort as mild pressure or congestion rather than sharp pain. Modern rhinoplasty techniques and prescribed medication make the recovery process very manageable.
Most swelling and bruising improve within 2–3 weeks. Breathing usually feels better within 4–6 weeks, and the final refined shape settles fully at around 12 months.
Yes. If a deviated septum or internal collapse is contributing to the crooked appearance, correcting it often improves airflow, reduces snoring, and relieves chronic congestion.
Yes. Once the bones and cartilage heal into their new position, the results are long-lasting. Only trauma or injury in the future could cause new deviation.
Fillers can help only if the crookedness is visual and mild. If the deviation is structural or causing breathing issues, surgery is the only effective long-term solution.
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Patient Aftercare All cosmetic surgery procedures at Berkeley Square Medical come with a comprehensive aftercare package and a 24-hour service so you can be assured you are always under the care and guidance of our surgical team. All your immediate aftercare is included in the cost of your surgery so there are no hidden extras in our […]
If you are considering Cosmetic Surgery, we understand that it's probably one of the most important decisions you're likely to make, therefore, you need to be sure it's right for you and you receive professional and independent advice about your procedure.
Our Philosophy We began our journey setting foot in the highly fashionable area of Berkeley Square, Mayfair where luxury fashion, galleries and five-star hotels all conveniently meet to set the example for world-leading client services and experience. Our goal was to create a cosmetic surgery practice that would not only exceed patients’ expectations but provide […]
