At Clínica Pérez Villar, each rhinoplasty case is a fully personalized challenge. No two noses are alike, and each procedure requires a thorough analysis of nasal structure, respiratory function, and facial harmony. In this case, the patient presented with an S-shaped septal deviation, irregular dorsal lines, and visible asymmetry of the nostrils, along with an osteocartilaginous hump and an under-projected nasal tip. There was also a discrepancy between the nasal bones and the lateral cartilages.
The goal was twofold: to improve breathing function and achieve a straight, masculine, and natural profile that blends harmoniously with the rest of the face.
What is an S-shaped nose?
An S-shaped nose is characterized by a curvature or deviation along the nasal dorsum that forms an “S” shape, visible from both the front and side views. This irregularity is usually caused by a combined deviation of the nasal septum and the bony and cartilaginous structures of the nose.
Patients with this condition often experience both functional issues (such as difficulty breathing through one or both nostrils) and aesthetic concerns, since the irregular dorsal line disrupts facial symmetry and gives the appearance of a twisted or unbalanced nose.
Correcting an S-shaped nose requires a structural rhinoplasty that addresses the nasal septum, nasal bones, and upper and lower lateral cartilages to restore both function and aesthetics in a balanced way.
Case diagnosis
During the evaluation, Dr. Álvaro Pérez Villar identified a complex S-shaped septal deviation, irregular dorsal lines, and a basal asymmetry affecting the nostrils. The patient also presented with:
- An osteocartilaginous hump that created a convex profile and a prominent appearance.
- An under-projected nasal tip with limited structural support.
- A discrepancy between the nasal bones and lateral cartilages, leading to both aesthetic and functional imbalance.
These features affected not only the external appearance but also the internal nasal function, as the septal deviations interfered with airflow.
Ultrasonic rhinoplasty: precision and natural results
For this type of case, Clínica Pérez Villar uses ultrasonic rhinoplasty, an advanced technique that allows precise modification of nasal bones using piezoelectric instruments. Unlike traditional methods, the ultrasonic scalpel preserves soft tissues, blood vessels, and mucosa, reducing bleeding and speeding up postoperative recovery.
Thanks to this technology, it was possible to correct the bone deviation, realign the nasal dorsum, and smooth out irregularities while maintaining the patient’s natural structure. Structural grafts were used to reinforce the nasal tip, achieving a more defined, stable, and projected tip that does not droop when smiling.
The result: symmetry, function, and harmony
The final result, as seen in the before-and-after images, shows a straighter, more balanced, and natural nose that integrates seamlessly with the rest of the face.
- The dorsal line is now straight and harmonious, creating a masculine and refined profile.
- The nasal tip is better defined and more projected.
- The nostrils show improved symmetry.
- Most importantly, nasal breathing has improved due to septal correction and internal restructuring.
The patient experienced not only an aesthetic transformation but also a significant functional improvement, achieving a nose that looks and feels natural.
The importance of treating nasal asymmetries
Nasal asymmetries are common and can result from congenital causes, trauma, or irregular development of bone and cartilage structures. When asymmetry is combined with septal deviations or dorsal deformities, correction requires precise and delicate work.
Balancing both sides of the nose is essential for a natural result. At Clínica Pérez Villar, every rhinoplasty aims for this balance between symmetry, function, and natural appearance, always tailored to the patient’s features and expectations.
Natural elegance: the philosophy of Clínica Pérez Villar
In all rhinoplasty procedures, Dr. Álvaro Pérez Villar follows a clear principle: maintaining the patient’s identity. The goal is not to change the face but to enhance its harmony and improve nasal function.
Detailed surgical planning, based on an in-depth facial analysis and ultrasonic techniques, ensures natural, balanced, and long-lasting results.
Conclusion
Correcting an S-shaped nose with septal deviation and asymmetry requires experience, advanced technique, and a comprehensive approach that addresses both function and aesthetics. This case illustrates how ultrasonic rhinoplasty can transform a deviated, poorly functional nose into a stable, elegant, and harmonious structure.
📲 To see more real rhinoplasty cases performed by Dr. Álvaro Pérez Villar, follow us on Instagram @drperezvillar, where we share real results and insights into each transformation.
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