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Are Post-Rhinoplasty Assymetrical Nostrils Fixable?

asked 1 year ago by 5778anon in Irvine
Latest answer by Mark B. Constantian, MD
Question viewed 990 times
Tags: nostrils, female, asymmetry

I had rhinoplasty around 3 months ago and what makes me so disappointed is the obvious asymmetry in my nostrils both apparent from the side views as well as the front...does it seem fixable? I can barely sleep at night because I am so worried I have to stay like this forever...

7 answers to Are Post-Rhinoplasty Assymetrical Nostrils Fixable?

+1

Yes--with composite grafts

You have an interesting and not uncommon asymmetry: your right nostril rim is higher than your left, but your right lateral crus (the tip cartilage above the nostril) is also asymmetrical. This rotation of the cartilage usually occurs on both sides (in about 50% of the population but in 80% of secondary patients) but can be unilateral. The treatment is to reposition the cartilage and also often add a piece of cartilage and skin from one of your ears (a "composite graft" because... more
Mark B. Constantian, MD

Nashua Plastic Surgeon
+1

Uneven nostrils after nose job

The first question I have is: were your nostrils even PRIOR to surgery. IF so, then it depends on anlayzing the cause of the asymmetry and whether it is due to soft tissue, cartilage, boney, or muscular causes. Depending on this analysis an intervention could provide you with improvments but it amy require cartilage grafting or external scars. While you will generally see an improvment, there is no guarantee for symmetry so make sure you go into this surgery with open eyes and that the... more
Otto Joseph Placik, MD

Chicago Plastic Surgeon
+1

You appear to have nostril-columella disharmony that might require revision rhinoplasty surgery.

I read your concern and reviewed the frontal photo you posted. I agree that  your nostrils appear different on both sides. It seems as though your lobule-columella complex is off-center and deviated to your right. My practice philosophy is to reserve revision surgeries for a last resort, and I will often suggest Injectable Filler Treatments to lower nostrils and restore alar symmetry. I can't be sure without viewing more photos or examining you, but my hunch is that you... more
Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

www.ericmjoseph.com

+1

Post Rhinoplasty Asymmetrical Nostrils

It is unfortunate you have asymmetrical nostrils after your rhinoplasty. However, this can be corrected with revision surgery. The one picture suggests the problem is secondary to the position of the tip cartilages or the amount of cartilage that was removed because you have retraction of the nostril margin on the right side.  You should wait another 6 months and then consult with your surgeon or a specialist in revision rhinoplasty. I've had many patients with this problem... more
Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon
+1

Asymmetric Nostrils Post Rhinoplasty are Repairable

Hi, The good news is that you will not have to live with asymmetric nostrils for the rest of your life.  The bad news is that you will likely require a revision rhinoplasty to make your nostrils symmetric.  But don't lose anymore sleep over it as there is nothing to do for about at least another 3 to 9 months.  Good luck and be well. Dr. P Encino, CA
Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon
+1

Asymetric Nostrils

Hi, If you had your nostrils narrowed and now they are asymmetric, then it will be difficult to fix the asymmetry. It is a little easier to fix asymmetric nostrils if they have not been narrowed. You may need ta have supporting cartilages placed in the tip to change the orientation of your nose. Best, Dr.S.
Oleh Slupchynskyj, MD

New York Facial Plastic Surgeon

www.facechange.org

+1

Asymmetry of Nostrils Following Rhinoplasty

Looking at the photo provided, your problem does seem fixable. That is the good news. Unfortunately, you are going to need to wait about 9 months before proceeding with a revision rhinoplasty procedure. Hopefully you chose a qualified rhinoplasty surgeon for your procedure and one who is capable of managing complications such as this that can arise from surgery. Good luck.
John M. Hilinski, MD

San Diego Facial Plastic Surgeon

www.drhilinski.com

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