Abstract
The deviated or asymmetric nose poses multiple challenges to the cosmetic and reconstructive surgeon. Diagnosis, surgical planning, and execution are presented in this article in the ordered form of a surgical algorithm. The algorithm utilizes the external rhinoplasty approach to address asymmetries in the following structures in an individualized yet systematic fashion: nasal septum, upper and lower lateral cartilages, the bony dorsum, and the skin/soft-tissue envelope. A number of techniques are discussed here, some restoring native anatomy, others providing simple camouflage. With experience, excellent functional and cosmetic results can be obtained by following this algorithm.
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