I had rhinoplasty done back in 2000. I had a bump on my nose that was fixed. The surgeon did a minor refinement on my tip. He also lifted the angle of nose a little bit. I dont like the fact that i have one nostril bigger than the other. The surgeon didnt touch my nostrils. Is it possible to make the bigger nostril match the smaller one? Is this fixable?
Uneven Nostrils - Can This Be Fixed?
Doctor Answers (14)
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Yes but here is the deal...
Your bigger nostril is actually the normal nostril. the smaller side has collapsed due to a combination or scar tissue and work on the lower lateral cartilages. To correctly improve your asymmetric nostrils, supporting cartilage grafts need to be added to the right side (the collapsed side). Do not reduce the left side (your left side) because then your nostrils will be even more asymmetric and you may end up with breathing difficulties. See a few good rhinoplasty specialists and be examined up close.
Correction of nostril asymmetry
Additional surgery is definitely an option is your are concerned about your nostrils. It would likely require more support on the right, collapsed side using your own cartilage. However I find that correction of nostril asymmetry is one of the most difficult things to promise in rhinoplasty. Experienced rhinoplasty surgeons definitely get improvement, but rarely perfect symmetry. So please keep this in mind if you consider more surgery.
Nostril and tip Refinement in Secondary Revisional Rhinoplasty
In my opinion, an expert level rhinoplasty is always performed in a closed technique and ALWAYS involves grafting to add to the structural integrity of the nose. The act of opening the nose even under the closed technique causes healing and some contraction, thus for a long term beautiful result the nose must be left more structurally sound than it was found. This is missed upon most rhinoplasty surgeons.
In secondary cases such as yours it is even more crucial that sound grafting techniques are used. It sounds like at a minimum you will needa columellar strut but a complete L-strut and alar strut. I Definitely do not consider any rhinoplasty procedure that does not include grafting preferably by an experienced Plastic and reconstructive training with ddition fellowship level craniofacial and aesthetic training. Of course this is my bias because it is my training but I think this level of training is very necessary for success in secondary and tertiary rhinoplasty because there is delicate nuance involved and every patient requires different maneuvers. I hope this helps!
All the best,
Rian A. Maercks M.D.
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Your nostril asymmetry is at least in part due to a deviated columella +/- septum - there is also possible intrinsic asymmetry which contouring and grafting can improve
Uneven nostrils can be due to a deviated caudal septum, asymmetric lower lateral cartilages and differences in the size and shape of the alar lobules (especially after Weir excisions). Additional views of your nose would be helpful to determine the best combination of procedures to improve you nostril symmetry.
Fixing uneven nostrils
For many examples, please see our rhinoplasty photo Gallery link below
Rhinoplasty revision for uneven nostrils
IF you are otherwise happy with your nasal appearance, I would urge you to be cautious in undergoing any additional surgical procedures as there is a risk for causing other secondary problems with the apperance of the tip. Currently, I don't believe the vast majority of your public would even notice the findings you describe.
Uneven nostrils can be repaired.
I read your concern, and I saw the base view of your nose that demonstrates your nostril asymmetry. Very few people will view you from this angle, so if you're otherwise happy with your appearance, I would not recommend revision rhinoplasty surgery.
In general, the smaller side is repaired to restore symmetry, and maintain your airway. I think making your left nostril small like your right could impair your breathing.
All the best from NJ.
Perfectly symmetrical nostrils are rare, but yours can be improved. You state that you would like to reduce the larger nostril, but that may compromise nasal breathing. Consult with your surgeon or see a revision rhinoplasty specialist to discuss alternatives.
Uneven Nostril Correction
Nostril asymmetry after a rhinoplasty can most likely be corrected by a secondary procedure. To be sure, it would be useful to see your before photos. Discuss your concerns with your doctor and let him give you his recommendation based on your pre-operative condition and the procedure actually done.
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