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One of my Nostrils is Higher and Less Attached Than the Other. Can This Be Fixed?

asked 1 year ago by Snow589 in Maine
Latest answer by Richard W. Fleming, MD
Question viewed 1,045 times
Tags: nostrils, high, uneven

In the attached picture, I made sure there was no uneven lighting and that I was facing the lens straight on.

16 answers to One of my Nostrils is Higher and Less Attached Than the Other. Can This Be Fixed?

+1

Nostrils are uneven.

This can be improved with a nostril only operation. However, the nostrils will never be perfectly the same. See an experienced rhinoplasty surgeon.
Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

+2

Nostril Asymmetry

It looks as if you have a slight facial asymmetry where the left side of your face is a little smaller than the right.  This causes the nasal tip to lean towards one side. The septum typically leans as well in those situations. This results in mild tip deviation and nostril asymmetry as you have shown in the photograph. The facial asymmetry also typically causes one nostril to look attached at a higher or lower point than the other. A surgery including septoplasty and a small graft... more
Richard W. Westreich, MD

Manhattan Facial Plastic Surgeon
+1

Uneven Nostrils

A conservative procedure can  improve the appearance but perfect symmetry is not possible. Choose an experienced surgeon who has reasonable goals - attempting perfection can be a disaster in the base of the nose.
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Asymmetric nostrils

If the offending problem is a crookedness of the caudal septum, this can be adjusted. It is extremely difficult to try to adjust nostril sizes. Occasionally a unilateral alarplasty can be done to narrow a wide nostril.  
William Portuese, MD

Seattle Facial Plastic Surgeon

www.seattlefacial.com

+1

Nostril assymetry

Correction of uneven nostrils can often be a challenging procedure.  They can often be made more symmetric with a surgical procedure, similar to a nostril narrowing procedure.
Paul Carniol, MD

Summit Facial Plastic Surgeon
+1

A well-performed Injectable Filler procedure may be employed to lower your right nostril.

I read your concern and reviewed your photo. In my practice, I have had good success, and many happy patients lowering nostril margins with Silikon-1000, an off-label permanent filler. I've attached a photo from my RealSelf gallery demonstrating this effect. I hope this is helpful for you.
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Uneven nostrils

From the one picture provided I would say that the asymetry you are concerned with is well within the normal asymetries (assuming no prior surgeies) everyone has to some extent between the two halves of the face. It is barely noticable. Fixing this is not easy matter and unlikely to give a "perfect" result. Leave it alone.
Andrew Pichler, MD

Sacramento Facial Plastic Surgeon

facedr.com

+1

Improving Nasal Asymmetry due to Uneven Nostrils

Hi Snow589 in Maine, I agree with my collegues that asymmetry is not only in the nostrils, but also the face. Facial asymmetry is very common, and may not be appreciated until one visits the plastic surgeon. Facial asymmetry contributes to the nose leaning to one side. In addition, the nasal septum is deviated as well causing the tip of the nose and nostrils to be uneven. Plastic surgery treatment would involve a septoplasty with rhinoplasty. Small grafts may be required around... more
Houtan Chaboki, MD

Washington DC Facial Plastic Surgeon
+1

Alar rim grafts and composite grafts can help lower your nostrils through rhinoplasty

Alar rim grafts and composite grafts can help lower your nostrils through rhinoplasty. Remember though that every person is asymmetric and this is built into our neuroanatomy to choose asymmetrically our mates. I don't see that the attachment is much different from each side but other pictures would help. Alar rim grafts are cartilage grafts that are put along the nostril margin or rim (hence called rim grafts) to help lower the rim. Composite grafts are made up of ear cartilage... more
Philip Young, MD

Bellevue Facial Plastic Surgeon
+1

One of my Nostrils is Higher and Less Attached Than the Other. Can This Be Fixed?

As ALL the expert posters state YES! But best to see a very experience rhinoplasty surgeon in your area. From MIAMI Dr. Darryl j. Blinski
Darryl J. Blinski, MD

Miami Plastic Surgeon
+1

Treatment for uneven nostrils (PHOTO)

Although the degree of asymmetry can reduced with an alar-facial groove incision and lower lateral cartilage rim graft, perfect symmetry may be difficult to achieve.
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

Uneven nostrils

Sometimes the nostrils can be adjusted depending upon how they look in other views as well( worm's eye). However, I would caution against doing anything.
Steven Wallach, MD

Manhattan Plastic Surgeon
+1

Asymmetric nostrils

There are many different approaches to the nasal base (nostril area) . Some involve cutting away excess tissue, some involve adding additional tissue to improve symmetry.  You should consult with an experienced rhinoplasty specialist, and then decide if you wish to proceed based on the treatment plan.
Roy A. David, MD

San Diego Facial Plastic Surgeon
+1

Uneven Nostrils

Hi, This is very difficult to fix. Sometimes revisions can make matters worse. Get several opinions on this problem or may just leave as it is. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

Nostril asymmetry

It appears from the picture that your right nostril is higher. This can be fixed by re-orienting or adding cartilage to the lateral part of your nostril. As for less attached, It is not clear to me what you mean by that.   Dr Siegel
Michel Siegel, MD

Houston Facial Plastic Surgeon

houstonfaces.com

+1

Uneven Nostril Correction

Hi Snow, Best to consult with a few rhinoplasty specialists.  Choose your rhinoplasty surgeon most carefully.  Good luck and be well. Dr. P
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

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