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Does Natural Facial Asymmetry Make Rhinoplasty More Difficult?

asked 11 months ago by ST3 in Los Angeles, CA
Latest answer by Jeffrey Epstein MD, FACS
Question viewed 384 times
Tags: face, asymmetry, deviated septum, saddle nose

I have a pretty asymmetrical face, the entire right side of my body is noticeably larger than the left and this especially applies with my face as my right eyebrow is higher, curvier and more feminine looking (I'm male) than the right one, eye shape is rounder, right side of face is puffier/chubbier, etc. I need surgery for my nose to correct saddled bridge cartilage and deviated septum and tip cartilage, so how would the asymmetry affect the process?

14 answers to Does Natural Facial Asymmetry Make Rhinoplasty More Difficult?

Natural Facial Asymmetry Make Rhinoplasty More Difficult?

Asymmetry is THE RULE of nature, not the exception. All of us have asymmetry of our eyes, faces, ears, breasts, limbs etc. As a result, Cosmetic Surgery is intended to improve appearances but can never be counted upon to completely correct existing asymmetry. In YOUR case, a rhinoplasty would be done based on your anatomic presentation and the wishes for specific changes you present to your Plastic surgeon. The rhinoplasty will not be affected by nor affect your facial asymmetry. Dr.... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Natural Face Asymmetry and Rhinoplasty

Yes, facial asymmetry can make it more difficult if not impossible to create a perfectly straight nose and symmetry to the nose especially the tip/nostril region. An experienced rhinoplasty surgeon will be able to work with these anatomical features to achieve the desired realistic results.

Jeffrey Epstein MD, FACS
Miami Facial Plastic Surgeon

www.plasticsurgeryoftheface.com

Best Rhinoplasty Technique for Asymmetric Face

Hi ST, Best to discuss your concerns with your rhinoplasty surgeon. Together you can go over the asymmetries of your face and decide the best plan to correct your nose resulting the most natural appearance. Most of us are asymmetric, and the majority of noses are as well. Your facial asymmetry should not affect the process of your rhinoplasty, but the procedure may involve slightly different techniques on each side. You may also wish to discuss the use of Sculptra... more

Michael A. Persky, MD
Los Angeles Facial Plastic Surgeon

Facial Asymmetry not a problem with Rhinoplasty

Facial asymmetry exists in all faces to some extent. During Rhinoplasty consultation I always show the patients how one side of the face is higher, or more projected and I like to point out the nostrils are attached, to the face at different levels. Rhinoplasty is designed to make the nose more attractive which it should be able tio do regardless of other facial asymmetries that exist on the face.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty and facial asymmetry.

Most people have facial asymmetry and the experienced rhinoplasty surgeon takes this into account when he does a rhinoplasty. The goal of rhinoplasty is harmony of the component parts not perfection.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Facial asymmetry

We all have some asymmetry. I t is good that you recognize this before surgery because most patients do not. This leads to many complaints after surgery. The surgery is blamed for the asemmetry. Nose surgery, itself, will not affect you other issues but, should be done to maximize the results for your nose

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Facial asymmetry and rhinoplasty

Facial asymmetry is quite common and can make achieving improved nasal symmetry difficult, but not unattainable. Your saddle nose problem shouldn't be affect by this but it may come into play when addressing any external nasal deviation and tip asymmetry.

Thomas A Lamperti, MD
Seattle Facial Plastic Surgeon

Facial asymnmetry

Asymmetry is normal. There will always be some asymmetry of the face before and after surgery. Certain things can be achieved with rhinoplasty, and certain things can not.

Steven Wallach, MD
Manhattan Plastic Surgeon

Facial Asymmetry

Facial asymmetry is present in everyone and does affect rhinoplasty and therefore certain maneuvers will have to be taken to have the nose appear straight as one side has smaller components than the other. For instant, the nasal bone is smaller on the shorter side of the face and this will make the nose deviate to the short side.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon

Facial Asymmetry and Rhinoplasty

No face is perfectly symmetric. However, the facial skeleton is the foundation for the nose. If your facial skeleton is significantly asymmetric, then that will most definitely effect the outcome of your rhinoplasty. That is not to say that you shouldn't have the surgery, but your expectations will need to be different if you are expecting a straight nose after surgery. You should still be able to get significant improvement in your nasal saddle deformity with... more

Gregory Branham, MD
Saint Louis Facial Plastic Surgeon

It's important to be aware of facial asymmetry before performing rhinoplasty

This is a very interesting question. Most people have some degree of asymmetry. In some cases the asymmetry is severe enough that it can affect the "straightness of the nose". For example if the asymmetry is great enough the center of the eyebrows may not line up with the center of the chin. This being said, your goals of treating a saddle nose deformity may not be adversely affected. Treating the deviated septum to make the nose appear straighter may be... more

David Mabrie, MD
Bay Area Facial Plastic Surgeon

yourfaceinourhands.com

Facial asymmetry and rhinoplasty

Dear ST3, As stated above asymmetry in the human body is the rule and not the exception, however severe asymmetry is definitively not the rule. If there is a severe or extremely visible asymmetry in your facial appearance I would suggest that you also see a plastic surgeon that has done a craniofacial fellowship. This surgeon could evaluate your complete cranial anatomy and determine whether he/she would recommend other procedures along with your rhinoplasty to improve... more

Ernesto Hayn, MD
West Palm Beach Plastic Surgeon

Rhinoplasty with facial asymmetry

Facial asymmetry certainly makes rhinoplasty more challenging - especially if the goal is to achieve more symmetry

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Los Angeles Nose Job

Facial asymmetry will not affect the rhinoplasty other than the fact the deviation of the nose may be related to the asymmetry. It is important to be aware of these asymmetries and realize that they will still be present after the nasal surgery.