What is a hooked nose

Many people may have heard of the hooked nose. What is a hooked nose? Hooked nose is a type of deformed nose that is hereditary. Injury to the nasal bone can also cause the appearance of a hooked nose. Because the position of the nose is relatively obvious, the presence of a hooked nose has a great impact on the face. Fortunately, it can now be changed through plastic surgery technology. Let’s take a closer look at what a hooked nose is and how to solve it.

Hooked nose: also called nodular nose, refers to a bulge on the upper end of the nose bridge, shaped like a hump or a nodule, and the tip of the nose is slightly hooked. In Western cartoons, cunning and sinister wizards all have such noses, so many people want to change this situation. Hooked nose is an external nasal deformity that affects facial appearance. It is mostly caused by congenital overdevelopment of the nasal bone. A few cases are related to the dislocated healing of the nasal bone after trauma or the later bone callus hyperplasia. In mild cases, there are only spinous protrusions on the bridge of the nose. In severe cases, the bridge of the nose is wide with angular protrusions, often accompanied by an overly long nose tip that bends downward, resembling an "eagle's beak" deformity.

A hooked nose generally does not affect the function of the nose but mainly affects the appearance, especially when viewed from the side. At present, modern cosmetic surgery has achieved a near-perfect level in correcting hooked noses.

Features

Hooked noses usually appear in families. Experts introduce several characteristics of hooked noses:

1. The lower part of the nasal bone is hump-like and widened.

2. The nasal septum cartilage is too long.

3. The lateral nasal cartilage and the medial crus of the alar cartilage are too long.

4. Gives people a sense of danger or sinisterness,

Cause

Hooked nose is an external nasal deformity that affects facial appearance. It is mostly caused by congenital overdevelopment of the nasal bone. A few cases are related to the dislocated healing of the nasal bone after trauma or the later bone callus hyperplasia. The middle crus of the alar cartilage grows excessively downward or the medial crus is too long; the nasal septum cartilage is too long; the depressor septum muscle is enlarged. Usually, the most common deformity of hooked nose in Oriental people is that the middle crus is too long, while the inner crus is too long, which is relatively rare and is often accompanied by abnormal morphology of the nasal septum cartilage.

Clinical manifestations and diagnostic basis

Clinical manifestations

1. The middle crus of the nasal cartilage grows excessively downward or the medial crus is too long

2. Excessive length of nasal septum cartilage

3. Hypertrophy of the depressor septum

Diagnosis

1. Abnormal nose bridge

2. The nose ridge is not straight, the nose is wide and long

3. The tip of the nose is bent and drooping downward, and its appearance is like an aquiline nose.

4. History of congenital disease

5. History of trauma

Surgical incision

Standard hooked nose surgery can usually be performed under local anesthesia. If the area is large or the patient's tolerance is poor, it can also be performed under general anesthesia. There are two main types of surgical incisions: intranasal approach and extranasal approach. The endonasal approach total rhinoplasty is also known as the Joseph procedure. This method first makes an incision between the lateral nasal cartilage and the alar cartilage inside the nostril, performs a sneak separation, then removes the hump of the nasal dorsum, and then uses a bone file to file the removed surfaces of the bone and cartilage flat. Then, by narrowing the nasal dorsum and reshaping the lower part of the nose, the rhinoplasty is completed.

The intranasal approach is more suitable for plastic surgery in Europeans and Americans and a small number of people in my country who have relatively tall external noses.

The extranasal approach is suitable for rhinoplasty for most people in my country.

If only the dorsum of the nose is slightly high, while the root and tip of the nose are normal, a satisfactory result can be obtained by simply chiseling off or filing the hump. However, if the nasal bridge is too high, the nasal root and the nasal tip are too low, then the hump should be removed and the nose bridge should be raised to correct more than three deformities of the nose at the same time.