What is going on with one side of my nose? (Photo)

Hello and thank you for your question! It sounds like your primary concern is the shape and asymmetry of your nasal tip and nostrils—one of the most common reasons people seek out both primary and revision rhinoplasty. Your specific issues can only be properly addressed through rhinoplasty—fillers simply don’t have the structural strength to achieve the necessary changes.

Many surgeons overlook key techniques that can soften the appearance of underlying structures in the nose, especially in patients with thin skin, significantly improving tip symmetry and refinement. These specialized maneuvers require a high level of expertise and experience, which most surgeons simply do not have. Given your history, an open septorhinoplasty would be the best approach to precisely reshape your nasal tip, refine the bridge, and restore overall balance.

In addition to reshaping your nose aesthetically, your septal cartilage (or an alternative graft material) would be used to create structural grafts, reinforcing key areas like the columella (the strip of tissue between your nostrils). This is crucial to maintaining long-term symmetry and preventing future distortions.

Rhinoplasty is one of the most technically demanding procedures in all of plastic surgery—millimeters make all the difference. If a surgeon is only performing one or two rhinoplasties per month, they simply do not have the level of experience necessary to achieve the best possible result. Your nose defines your entire face—this is NOT a surgery to leave in the hands of just anyone.

I have had extensive training in complex rhinoplasty, working under one of the highest-volume rhinoplasty surgeons in the world (who performs 1,000+ nose surgeries per year). If you’re serious about getting the best possible result, I’d be happy to see you for a consultation (Virtual or In-Person) where we can discuss your goals, perform a detailed examination, and create a customized plan for your ideal nose.

I look forward to helping you achieve the refined, balanced nose you deserve!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Based on your photos, you appear to have very thin nasal skin and an indentation involving your right tip cartilage. Sometimes nasal tip asymmetries like this may be due to a deviated nasal septum. If you are breathing fine and would want to add volume to your right nasal tip indentation, depending on your examination, microdroplets Silikon 1000 injections may be considered. I hope this helps and thank you for your question. Sincerely, Dr. Joseph