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While an alarplasty can be an effective way to refine the shape of the nostrils, achieving perfect symmetry can be challenging due to natural variations in facial anatomy. It is not uncommon to see some degree of nostril asymmetry after surgery. Correcting this can be a complex undertaking. For this type of revision, a surgeon may need to use advanced techniques, such as cartilage grafting, to improve the contour and position of the nostril base. I recommend you schedule a consultation with a board-certified facial plastic surgeon who has specific expertise in revision rhinoplasty to discuss your options and set realistic expectations for the outcome.
