Will I need an alarplasty to correct my asymmetrical nostrils? (photos)

Question

This is my 3rd surgery. In general, I am happy with my nose. My right hole looks bigger. Is there a need for alarplasty for this?

Donald B. Yoo, MD, FACS · Answer

Alar base reduction works well to reduce the width and flare of nostrils. Asymmetries between the size of nostrils can also be addressed to a certain extent, when other aspects of the nose are symmetric. For your nostrils, the position and shape of the columella creates the asymmetry rather than the shape and size of the ala. For this reason I wouldn't expect a significant improvement in symmetry with an alarplasty alone.

Eric M. Joseph, MD · Answer

Just on your photos, you do not appear to have a significant amount of nostril asymmetry. If you would like your nostril margins a bit lower on front view, more so on the right, depending on your examination, microdroplet Silikon-1000 injections may be considered for decreasing your amount of nostril show on front view. I hope this helps. Sincerely, Dr Joseph

Tanveer Janjua, MD · Answer

Nostril Asymmetry 
It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. 
Also, it is very important to remember that nobody will look at your nostrils from below. From the front view the nostrils don't look as asymmetric as from below. Unless the asymmetry is really obvious and disfiguring, it should be left alone.

Regards
Dr. J

Will I need an alarplasty to correct my asymmetrical nostrils? (photos)

Answers (3)

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