Is it too soon after surgery to be worried about uneven nostrils?

Kacee, I would encourage you to discuss your concerns with your surgeon - the current one and any future ones that might arise. The surgeon who performed the rhinoplasty knows precisely what was done and could easily explain to you what is going on with your right nostril rim. In some cases it could be elevated more on the one side due to unwanted scabbing around internal sutures.

If this were the case, the nostril rim should settle down with better wound care and simply time. There are other possible explanations but, again, your surgeon is the best resource at this time. The bottom line is that it is very premature to judge your results at one week out following rhinoplasty. Happy healing.

Good question. I see why you're concerned. There is definitely a difference between the two sides. I know most of the time we say swelling could be the cause, and it certainly may be contributing this early on, but the nose should not look the way it does immediately after surgery, and it's rare for it to look the way it does in the photo. It could very well be that more was done on that side that is causing the early retraction, and it could get better or worse. If it is a stitch or something that is too tight I would look under the nose to see if anything obvious is causing it that can be addressed early on. Unfortunately it's rare that something addressable early on will be found. Hopefully it gets better!
-Dr. David Mattos, New York Plastic Surgical Group

It’s not unusual for rhinoplasty patients to have asymmetry
in the immediate post-operative period. In the vast majority of patients, this asymmetry resolves with the
passage of time.Rarely,
structural phenomena may contribute to nasal asymmetry.Possible causes include slipped cartilage
grafts, distortion from internal and external splints, and sutures that have
caused distortion or have separated prematurely.Your
pictures suggest nostril asymmetry secondary to elevation of the right alar
rim.Without performing a physical
examination it’s impossible to determine the specific cause of this particular
problem.For this reason it’s important
to consult your plastic surgeon.Your surgeon
understands exactly what was done at the time of your procedure and can tell if
this is an expected or unexpected finding.Whether it requires intervention or should be left alone.Hopefully this consultation will address your
concerns and alleviate your anxiety.