Revision Rhinoplasty: Q&A
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Uneven Nostrils - Can This Be Fixed?
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?
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13 Doctor Answers |
Asked by
Diamond99
in us
+1
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.
+2
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.
+2
Yes but here is the deal...
Hi,
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...
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Uneven nostrils
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
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Uneven Nostrils
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.
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Fixing uneven nostrils
Asymmetries on the tip and nostrils are very difficult to fix. With some limitations cartilaginous grafting techniques can be performed to augment the weaker side. Sometimes a septoplasty can straighten the columella to allow better breathing. Spreader grafts can also help if there is a concave upper lateral cartilage creating a retraction of the tip on one side.
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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.
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Uneven Nostrils
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.
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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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Nostril shape
Tough call to improve the nostrils. Your right nostril looks almost collapsed. Difficult to say without an exam.
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Nostril Shape Following Rhinoplasty
Sorry to hear about your situation with the nostrils. Looking at your photo, it appears that your right nostril is smaller than it should be, which is likely related to something done during your rhinoplasty procedure. In many cases, this deformity can be seen when too much cartilage is removed from this region of the nose. The cartilage that normally supports the nostril rim is no longer present, leading to collapse much like you have in the photo. The corrective procedure would be to...
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Uneven Nostrils Following Rhinoplasty
Having slightly asymmetric nostrils is normal. Most people don't have perfectly symmetric nostrils. In your case, the left nostril is actually anatomically normal (the bigger side). The right nostril appears too narrow. This could be a result of surgery if in fact you did not have this configuration before the procedure. This can be improved by performing an open approach rhinoplasty and reconstructing and reinforcing the support of that cartilage. This...
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Nostril revision
Hi,
It looks like you may have had too much lower lateral cartilage removed on the right side. You would require an open rhinoplasty with correction of the right upper lateral cartlage and a cartilage strut graft. The cartilage grafts can be harvested from the septum and/or the ear.
Best,
Dr.S.
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