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

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

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!

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

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.

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