Without seeing what your nose looked like before or the defect created by the surgery, I would say this looks like an excellent result. Healing won't be complete until approximately 6 months after the surgery and mother nature will be doing some remodeling in the meantime. It is sometimes difficult to impossible to fully restore appearance on the outside and function on the inside. Because, as a patient, you and the surgeon can easily see the outside, restoration is done to primarily make the nose appear normal at the cost of disturbed function inside, such as difficulty breathing. You, like most people, probably never noticed that your nostrils were not symmetric before the surgery, but every patient notices the asymmetry after. While you still may have functional problems moving forward, don't forget that skin cancer replaced normal tissue on your nose, and your doctor appears to have done a great job in concealing that fact from the casual observer. Best of luck to you. jlr