Doctor Recommendation for Nose Surgery in Southern California

The limited view photos you posted do not allow a full assessment of the situation. It is apparent though that you have valve collapse on the left as the left nostril opening is much smaller than the right. The front view shows the left half of an inverted V shape so there may be left internal and external valve collapse. These need to addressed when you have your surgery and you should discuss these findings with prospective surgeons.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

The ASPS website would be a good starting point for a list of qualified surgeons. Dr. Steven Cohen and Dr. Scott Sessions are possibilities. Consult with 3 - 4 surgeons in your area to find the best option for you.

Bulbous tip requires adequate cartilage refinement as well as thinning of the thick skin to drap over the cartilagenous structure.  The dorsum will have to be reduced. The reason for asymmetric nostrils is deviated septum which shows itself on the left side. There is facial asymmetry in every patient which occasionally cause asymmetric nose and nostril. The width of the nose needs to be reduced too. Postoperative follow up must be adhered to as steriod injections may be rquired.