The effect of deviated nasal septum on aesthetic appearance of the nose

Background The deviated nasal septum affects the aesthetic appearance of the nose, as a well-known phrase projects ‘As the septum goes, so goes the nose.’ The nasal septum is the central structure supporting the framework of the nose. Aim To evaluate the relationship between nasal septum deformities and its effects on aesthetic appearance of the nose, and the management of each effect. Patients and methods A total of 30 patients who underwent septorhinoplasty between April 2016 and December 2019 were evaluated prospectively. This was done in Al-Zahraa University Hospital. Patients who had nasal deformities owing to septal deformities were included. Results Regarding interference with nasal septum in rhinoplasty operation, only two (6.7%) cases were done without septoplasty, whereas 28 (93.3%) cases were done with septoplasty. In 93.33% of the cases, nasal septum affected the shape of the nose, and in only 6.67% of the cases, the nasal septum did not affect the shape of the nose. Conclusion The deviated nasal septum affects the aesthetic appearance of the nose, but not all parts of septum affect it. Bony part does not affect the shape of the nose and not all types of deviations of the septum. However, deviations that reach the dorsum of the nose or columella surely affect the shape of the nose.