Can Fixing my Deviated Septum Also Fix my Asymmetrical Nostrils? (photo)

I assume that you have already have had a detailed intranasal examination and that you have a deviated septum.  However, the end of your septum (known as the caudal septum) is straight in your photographs and does not contribute to nostril asymmetry. Your nostril asymmetry appears to be caused by a subtle difference in the outer curvature of the nostrils and by mild asymmetry of the tip cartilages.If anything, I would consider a minor alar (nostril) modification, which will improve but not eliminate the asymmetry. Perfect symmetry is not possible.

     The caudal septum is midline, and the nostril asymmetry is not particularly marked.  A septoplasty, if indicated, would not change the appearance of the nostrils.  Sometimes the treatment for minor nostril asymmetry can produce a less desirable result.  Kenneth Hughes, MD Los Angeles, CA

 A septoplasty will not change the shape of the nostrils unless there's a caudal septal deviation that is creating  the asymmetry. An alar-plasty would need to be performed to make the base of the nostril is more symmetrical.