Deviated Nose Revision — Is It Possible with Nasal Bone Osteotomy? What to Check About Health and Cost

2025. 6. 24.

If the nose has become deviated and looks like it's drooping long after trauma and rhinoplasty — why you must evaluate whether it's a nasal-bone-only problem, and separately check spinal disease, anesthesia risk, positioning limits, and insurance criteria.

Key points

The cause of a deviated appearance can be a mix of nasal bone, septum, implant, and tip support structure — so the need for osteotomy is evaluated in person.
If there is spinal disease, it's not simply a matter of whether you can lie on the operating table — anesthetic risk, medications, cardiopulmonary status, and surgical positioning are reviewed together by the relevant department and anesthesia staff.
Whether health insurance or private insurance applies varies by diagnosis, the items actually performed, current criteria, and policy terms — each is confirmed separately before surgery.

"It's been a long time since my surgery, but my nose seems to be drooping more and more. Is revision still possible now?"

We received a question from someone who had nasal surgery after trauma long ago, noticed changes over the years, and was weighing revision. One clinic had even told them surgery is difficult when the nose is crooked.

This article organizes — through the actual question and answer — what gets checked when judging whether deviated nose revision is possible.

The actual question — they say surgery is hard when the nose is crooked. Is that true?

Q. Twenty years ago I fell from playground monkey bars and had nose surgery. Recently my health hasn't been good either, so I'd been leaning toward not having functional nose surgery again — but lately when I look in the mirror I feel my nose keeps drooping, and it's upsetting. I'd like to know if deviated nose revision is possible in my situation. At one place they said surgery is difficult when the nose is crooked, so they can't do it.

Let's go through what needs to be checked, in order.

How is a deviated nose operated on?

The surgery differs depending on whether the cause of the deviated appearance is the nasal bone, the septum, an implant, or the tip support structure. Osteotomy is one option — it isn't applied to every deviated nose, nor does it guarantee the pre-injury shape. Evaluation is done at an ENT clinic or a revision rhinoplasty practice that can review previous surgical records together with CT and intranasal examination. The checklist is in the revision guide.

Is surgery possible even with poor health?

Even for someone struggling with spinal issues like this questioner, the criteria for checking are as follows.

Item to check	Criteria
Spine · surgical positioning	Feasible positions and the risk of worsening neurological symptoms
General health · anesthesia	Cardiopulmonary status, medications, tests, and the anesthesia plan
Cost · insurance	Confirm diagnosis, items performed, current criteria, and policy terms

Surgery may be possible even with spinal disease, but safety can't be judged by the fact that you can lie down alone. The relevant department and anesthesia staff must review positioning limits, neurological symptoms, cardiopulmonary status, and medications. For insurance, the diagnosis, items actually performed, current coverage criteria, and policy terms are confirmed separately with the hospital's administrative team and the insurer.

Summary — feasibility is judged by health status, not nasal shape

Deviated nose revision evaluates the nasal bone, septum, implant, and tip support structure together with systemic and anesthetic risk. If there is spinal disease, prior evaluation by the relevant department and anesthesia staff is needed, and insurance coverage is confirmed separately for diagnosis, items performed, current criteria, and policy terms.

If you're wondering whether revision is possible given your health and nasal condition, it can be checked in a 1:1 video consultation.

Frequently asked questions

Answers to common questions patients ask before a consultation.

Can't surgery be done when the nose is crooked?

Whether revision is possible is decided by evaluating the nasal bone, septum, implant, skin and scar condition, the desired change, and systemic risk. There are cases where osteotomy isn't needed, or where surgical risk outweighs the benefit.

Can I have deviated nose revision even with a chronic condition?

It may be possible, but prior evaluation by the relevant department and anesthesia staff is needed. Positioning limits, cardiopulmonary status, medications, and test results are checked.

Is deviated nose revision covered by health insurance?

Coverage may differ depending on the diagnosis and items actually performed, and private insurance has separate policy terms. Confirm each with the hospital's administrative team and the insurer.

Responses to treatment and recovery progress vary by individual. Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.

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