4 years post-op. Asymmetrical nostrils. Do I need a revision? (photo)

Question

I underwent a rhinoplasty in mid 2020. 4 years later my chief concern is asymmetric nostrils and what seems to be a crooked septum or columella, I’m not sure which term is correct. I have received steroid injections at least quarterly for nasal tip swelling. I’m not sure how more steroids are supposed to fix the asymmetry. About a year ago the doctor shaved some of the front of the septum/columella which only seems to have made my nose look more flat. I think I need.a revision.

Eric M. Joseph, MD · Answer

I have a suspicion that your nasal base is a symmetrical from a deviated nasal septum. You have a bulge of your foot plate on your right side, and your tip appears to veer to your left. Consider meeting with several reputable rhinoplasty specialists, if this is causing you great concern. I hope this helps. Sincerely, Dr Joseph

Selcuk Inanli, MD · Answer

Hello!Thank you for your question.
If you can send us your photos at 95 degrees from the front and side profile, we can make a more accurate assessment. but as far as I can see from your photos, there is a fog that does not go away and at the same time there is an inequality in your nostrils, with revision rhinoplasty, the field is equal and a more natural nose.
It would be better face to face consultation.
Best Regards!

Ronald J. Edelson, MD · Answer

Overall your result is good. I do see the crooked columella. Many times this is caused by the lower edge of the septum being too long and crooked. Cutting a few millimeters off the lower edge of the septum can correct this. And it can be done as a closed rhinoplasty with no cartilage grafts

Zoran Potparic, MD · Answer

It would be difficult to give you good advice without full face and profile photos as well as your pre operative photos. In person or teleconference consultation with another board certified plastic surgeon with expertise in rhinoplasty is recommended.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from some interventions to help your nostrils but it is difficult to fully assess the best course in these pictures alone. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

4 years post-op. Asymmetrical nostrils. Do I need a revision? (photo)

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4 years post-op. Asymmetrical nostrils. Do I need a revision? (photo)

Answers (5)

Answer: Nostril asymmetry after rhinoplasty

Answer: Nostril asymmetry after rhinoplasty

Answer: Nostrils after rhinoplasty

Answer: Nostrils after rhinoplasty

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Recommended reading

Everything you need to know about Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.