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Twisted Nose

Twisted nose New York, NY
The twisted nose is typically caused by trauma and less commonly due to genetic deformity. The “twist” in the nose can occur at the upper bony part of the nose, the middle cartilaginous part of the nose, the tip or any combination of the three. If the tip is twisted, it can cause the nostrils to be different shapes, and cause breathing obstruction. The deformed shape of a twisted nose can be distracting, pulling attention away from other facial features.



Mildly Twisted Nose – Filler injections like Restylane or Juvederm can be used in the concave areas of the twist to improve the shape of the nose for a straighter appearance.

Moderate to Severely Twisted Nose – Only surgical solutions are recommended for moderate to severe cases.


Mildly Twisted Nose Closed or open rhinoplasty can be used to straighten the bones and cartilage and eradicate the twist. Depending on where the twist occurs, surgery can include:

  • Grafting of cartilage to camouflage the twist, creating a symmetrical nose.
  • If the tip of the nose is twisted, the cartilage may be deconstructed and reconstructed using cartilage grafts to rebuild a straight tip.
  • When the twist is due to the nasal bones shifting in one direction, osteotomy can be performed to straighten the bone structure. This involves asymmetrical repositioning of the bones to move them into a straighter configuration.

Moderate to Severely Twisted Nose – An open approach rhinoplasty is necessary to permanently reshape the nose. The procedure can include:

  • Osteotomy or cutting and re-positioning of the nasal bones, to straighten the upper bridge of the nose.
  • Spreader grafts, sourced from a septum, are or rib, to add width to the middle vault of the nose.
  • Nasal tip cartilages may need to be replaced or augmented with cartilage grafts to alter the shape and/or configuration of the tip of the nose.

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What Dr. Khosh's Patients Say


Based on 174 reviews

Meredith G.
Saw Dr. Khosh for a fractured nose. He reset my nose beautifully (and with little discomfort to me) and then discussed some of my sinus issues with me upon my follow up visit. Never felt like he was rushing me out and felt very confident in his abilities. I would highly recommend to anyone needing plastic or reconstructive options!
Jackie C.
Great front office, really good experience after what was a terrible accident. I was made to feel comfortable. Dr. Khosh is very good at what he does. I'm still healing but I'm confident of the results
Kaitlin M.
Dr. Khosh takes exceptional care of his patients. He has operated on me twice, each time making me feel extremely comfortable and satisfied with the results. His staff is also very kind and knowledgeable.
Diana G.
Dr. Khosh & his staff Susan & Christine are absolutely amazing! They were so supportive & helpful from beginning to end & they are just wonderful people. Thank you guys I truly appreciate everything you guys have done for me. I would recommend them to anyone & everyone!
Joann M.
After visiting and being evaluated by several doctors, I kept going back to Dr. Khosh. His tranquil spirit and professionalism were captivating. Thank you for a job well done and keeping me calm throughout the entire process. A special thanks to your staff Susan and Christine for all of their support as well. Hi highly recommend Dr. Khosh.
Leah G.
Upon hearing of the overwhelmingly positive experience a friend of mine had in choosing Dr. Khosh as her surgeon, I decided to make an appointment for my own septoplasty/rhinoplasty/turbinate reduction. Although I was slightly skeptical as the praise I had heard seemed a bit hyperbolic, all uncertainty dissipated after meeting the Doctor and his staff. My pre- and post-operative experience was excellent in terms of concerns adequately addressed prior to the surgery and mitigation of any bruising in the convalescent period. Despite my apparent predisposition to rather slower healing, a year after the surgery, my nose looks really pretty and my breathing entirely unobstructed! I highly recommend Dr. Khosh!
Courtney G.
AMAZING!!!!!! I had Dr Khosh perform lipo on my chin/neck and my result is unbelievable! Better than I could have expected! I met with a couple of surgeons and the second I met with Dr Khosh I knew he was the one I was going with. He was compassionate and explained every detail of what would take place during the surgery and what to expect during recovery. I even emailed a few times during recovery with various questions and he got right back to me asap which was really comforting! I honestly fully recommend Dr Khosh, he did an amazing job and is an amazing person.
Frieda S.
i can finally breathe!! Dr. Khosh made the entire experience a breeze, it was truly a pleasure to be under his care. I am forever thankful and highly recommend him. Not only does his work speak for himself, but he has excellent bedside manner. His kindness and patience is above and beyond. He takes the time to answer to every question you have to help you understand the process while at the same time making you feel so comfortable. From the first consultation i knew i was in good hands. I am so pleased with the result and forever thankful.
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