Fixing Asymmetrical Nostril on Child

My son was born with one nostril larger....almost like a notch was taken out....i took him to a pediatric plastic surgeon when he was an infant...they said wait till he was school age. He is now almost 6. Can this be fixed?

Doctor Answers (4)

Nasal Reconstruction is BEST done when the nose reaches Adult size

+1

Defects of the alar rim (nostril edge) are more commonly seen with skin cancer and injury than at birth. The way they are commonly fixed is with a COMPOUND GRAFT borrowed from the rim of one of the ears, leaving a tiny scar on the ear. To minimize size discrepancies and notching this is best done when the nose is close to normal size. but obviously this needs to weighed against the psychological trauma and potential behavioral issues that may be seen if you wait for the ideal time.


Memphis Plastic Surgeon
5.0 out of 5 stars 61 reviews

Repair of Asymmetric Nostril in 6 Year Old

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Hi,

Yes it can be fixed.  One of the world's experts in nose reconstruction is Gary Burgett, MD in Chicago, Ill.  Good luck and be well.

Dr. P

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon
5.0 out of 5 stars 23 reviews

Fixing a notch in the nostril

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The notch in the rim of the nostril is associated with a deficiency in skin and underlying cartilage. I am posting a picture called nostril notch repair to the real self website. If you look at the photo you see an area outlined on the lower edge of the notch. This is cut leaving the very edge intact so it can be swund down. A piece of cartilage from the ear is then sutured on top of that. Then the higher skin marking is cut so the outer skin can be rotated downward to cover the cartilage. Since this is not performed at the growth center of the nose I don't see why it could not be done right before he starts school. It should not affect nasal growth as he matures.

Aaron Stone, MD
Los Angeles Plastic Surgeon

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Congenital nostril deformity

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When face with a significant cosmetic congenital deformity, the contradicting factors are growth concerns and psychological trauma. Since the nose is still growing, it is ideal to wait until the nose is fully formed in the late teen years. However, the psycho-emotional  trauma of living with such an obvious deformity may be more severe. I would advise watching for signs of this in terms of behavior or maladjustment. If he is socially normal, making friends, exhibiting confidence, etc. I would continue to wait. If he shows behavior that is of concerns in terms of difficulty with other kids, being withdrawn or angry, or certainly if he is making comments about his nose, some treatment  may be indicated earlier.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 7 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.