Treatment of a twisted nose. This patient was please with her nasal contour except for the severe twisting of the nasal bridge. After, she has a straight nasal bridge and little to no change of her tip. The severely twisted nose is treated using a variety of surgical techniques. Osteotomies (breaking the nasal bones), cartilage grafting ( taking cartilage from the septum or ear and placing it elsewhere in the nose) or implants are used in a variety of combinations to achieve the ultimate result.