Procedure: Male Crooked nose Rhinoplasty using Close Approach with hinge osteotomies and controlled release of the frontal nasal spine, plus septal realignment.

Goal: Correct long-standing right laterorrhinia (nasal deviation) with left septal deviation, align the bony–cartilaginous framework, and restore breathing while preserving a natural, masculine appearance—without external scars.

Summary:
This male patient reported a lifelong deviated nose without a clear history of trauma. Examination showed marked rightward nasal deviation (laterorrhinia) with left septal deviation and mild facial asymmetry, a common association in these cases.
A male crooked nose rhinoplasty was performed by Dr Escobar. The septum was straightened to re-establish a stable L-strut, and hinge osteotomies with controlled fracture/release of the frontal nasal spine were used to liberate the bony memory that kept the dorsum and septum deviated.

The above step is critical to obtain a durable, midline alignment while maintaining the stability of the nasal pyramid. Tip definition was refined conservatively to match the corrected axis. After this crooked nose rhinoplasty, the patient was able to breath normally for the first time in his life.

  • Midline alignment of nasal dorsum and septum.
  • Scarless outcome thanks to the closed male crooked nose rhinoplasty approach.
  • Improved nasal airflow and function.
  • Refined tip symmetry consistent with masculine proportions.
  • Stable bony framework after memory release with hinge osteotomies.
  • Deviated Nose Rhinoplasty Madrid Escobar MD (1)
  • Deviated Nose Rhinoplasty Madrid Escobar MD (2)
  • Deviated Nose Rhinoplasty Madrid Escobar MD (3)
  • Deviated Nose Rhinoplasty Madrid Escobar MD (4)
  • Deviated Nose Rhinoplasty Madrid Escobar MD (5)

As an International Fellow member of the American Academy of Facial Plastic and Reconstructive Surgery (AAFPRS), Dr. Escobar aligns his before-and-after galleries with the Academy’s ethical principles. This reference does not imply AAFPRS endorsement. All images show our own patients and are published only with written, informed consent. No retouching is used to alter anatomy or postoperative results; only limited technical adjustments (e.g., crop, exposure, white balance) may be applied without changing outcomes. We aim for comparable lighting, angles, and timing. Images are educational; individual results vary. Learn More

Dr Escobar Facial Plastic Surgeon
Dr Escobar Facial Plastic Surgeon
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For women and men—whether primary or revision—my intent is to achieve natural, balanced results that blend seamlessly with the face while preserving—often improving—breathing. Guided by facial proportions (Golden Ratio), I design a tailored surgical plan for each patient. When appropriate, I favor the endonasal (closed) approach to refine with precision, reinforce structure, and avoid visible external scars, aiming for long-term stability and function. Every case receives my direct oversight; we set realistic goals together, so results enhance beauty, respect individuality, and build confidence.

Revision rhinoplasty. Secondary surgery is both technically complex and emotionally demanding. I carefully review your prior history, support you throughout the process, prioritize restoring function, correct asymmetries, and pursue a soft, natural look.

About these galleries. The cases shown (women and men; primary and revision) are published with explicit patient consent. They are educational, illustrating the kind of natural and functional outcomes that may be achievable in similar situations. Final results vary according to each patient’s anatomy, previous procedures, and individual healing.

Dr. Paulo A. Escobar, MD FACS

Dr Escobar Facial Plastic Surgeon
Dr Escobar Facial Plastic Surgeon
Logos societies home
Logos societies home

Para mujeres y hombres —ya sea una rinoplastia primaria o de revisión— mi objetivo es lograr resultados naturales y equilibrados, que se integren armoniosamente con el rostro y que preserven —y a menudo mejoren— la respiración. Guiado por las proporciones faciales (proporción áurea), diseño un plan quirúrgico personalizado para cada paciente. Cuando es apropiado, prefiero el abordaje endonasal (cerrado) para refinar con precisión, reforzar la estructura y evitar cicatrices externas visibles, buscando estabilidad y función a largo plazo. Cada caso recibe mi supervisión directa; establecemos juntos objetivos realistas, para que los resultados realcen la belleza, respeten la individualidad y refuercen la confianza.

Rinoplastia de revisión. La cirugía secundaria es técnicamente compleja y emocionalmente exigente. Reviso cuidadosamente tu historial, te acompaño durante todo el proceso, priorizo la restauración de la función, corrijo asimetrías y busco un resultado suave y natural.

Sobre estas galerías. Los casos mostrados (mujeres y hombres; primarios y de revisión) se publican con el consentimiento explícito de los pacientes. Tienen un propósito educativo y muestran el tipo de resultados naturales y funcionales que podrían ser alcanzables en situaciones similares. Los resultados finales varían según la anatomía de cada paciente, los procedimientos previos y la cicatrización individual.

Dr. Paulo A. Escobar, MD, FACS