Asymmetric Nostrils After Primary Rhinoplasty, What Can Fix this? (photo)

I had a primary rhinoplasty 8 weeks ago. My nostrils are very asymmetrical, and my whole nose looks crooked due to this. My face looks very strange because of this. I'm pretty sure I will need revision rhinoplasty to correct this. However in the meantime is there anything I can do to to fix it?? Will injections or fillers help? Thank you

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nostrils asymmetry 8 years post-op

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2 Doctor Answers | Asked by ysl

Doctor Answers (2)
Community Comments (1)

Asymmetric Nostrils After Primary Rhinoplasty

Hello, Eight weeks is still very soon after your surgery, and it is too soon to tell whether you would need revision work. 70% of the swelling is resolved after the first three months, and the remainder goes down over time. The final result of a rhinoplasty is not evident for 18-24 months following surgery. It is important to be patient during the healing process. Thank you and I hope this helps. Dr. Nassif

Revision Nostril Surgery

The photos you have posted are limited so it is difficult to tell without seeing the rest of your face how best to address your request. It is unclear if you are slightly rotated in the second photo, however, based on that photo, it appears that you could benefit from having an alar base reduction on one side to help make the nostrils more symmetric. This could be done in the office with local anesthesia so that you are awake. I would recommend you have a consultation with... more

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4444bv 10 Dec 2012

I myself had an alar base reduction years ago and after looking at my result and results from other people it is a procedure that should absolutely not be advocated in plastic surgery but in only very extreme cases. It is an abused procedure used by doctors who do not have your best interests at hand. It is 100% impossible as well as irreversible for a doctor to remove the same amount of skin on both sides of the nose. Doctors are not removing cartilage but skin & tissue (muscular and nerve) that have an extremely intimate relationship with your other facial features. In short, your nostril is cut off your face and sewn lower down on your face. There are effects (short & long term) of this horrendous and unnatural looking procedure. Some of these effects will be a weakened nose structure, asymmetry, difficulty breathing, etc. As you age people who have had this procedure will have a high probability the nostrils will collapse because the support (alar base) has been removed. Doctors who are advocates of this procedure do not tell all there is about this procedure. Remember plastic surgery is a business and a lot of doctors are in it to make all the money they can. Just because there is a Dr. in front of their name doesn't mean they put your interests as their top priority. Very few will be upfront and honest with you at the risk of losing money. Unfortunately & regrettably there is nothing than can be done after this procedure is performed. This procedure should NOT be advocated by the Board of Plastic Surgeons.

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