Septoplasty shouldn't have affected nostril asymmetry

Steven Wallach, MD answers: Can rhinoplasty correct asymmetric nostrils?

Septoplasty has left my left nostril larger than before. Is it possible to correct it back to its original size? Can rhinoplasty fix this kind of problem?


Steven Wallach, MD
9 months ago

A septoplasty should not have impacted nostril asymmetry. Nostril asymmtery is normal but if yours is excessive, a simple procedure to reduce one nostril base may correct your problem.

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A: Correcting asymmetric nostrils

Richard W. Westreich, MD
19 months ago

Asymmetric nostrils often results from nasal tip deviation. Other issues, such as facial asymmetry can also be a factor in its development. The most important question for a surgeon and patient is why this occurred in the first place.

While asymmetry of the nasal tip cartilages can be a factor, there is usually a septal deviation that is the true underlying cause.

Deflections of the caudal septum (the lowest point) can push on the tip cartilages, causing differences in the nostrils. If you want to find out if the septum is an issue:

  • Push on the bottom of your nose and feel your septum.
  • It will be a sharp edge running all the way from the base of your nose to your tip.
  • If this edge is off center, then a deviated septum is likely causing your nostril asymmetry.

Even subtle deviations to the septum can affect nostril shape. If not, then tip cartilage asymmetry may be the reason for your problem. In order to understand the problem completely, a consultation is often necessary.

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