6 months post-op, is it normal to have nostril asymmetry after significant tip work? (Photos)

I recommend you seek the opinion of a revision rhinoplasty expert in person and possibly. I am not certain if an alarplasty is the solution, nor should anyone make a recommendation via this forum. You need to be evaluated in person, look at the entire nose and face, and come up with a game plan. I do believe that your nostril asymmetry can be improved.

Best,
Thomas Walker, MD, FACS
470-900-3223
@drthomaswalker

Hello,

I wouldn't recommend waiting for the full year to determine how your nose and smile changes with your procedure. One problem with doing a alarplasty is that your nostrils don't appear to be that different straight on and you risk creating further asymmetry. You can consider botox to the muscles around the nose to see if that helps the asymmetry from the smiling. You can also place a suture inside the nose called a sin suture to help prevent the nostrils from moving. Good luck!

Postoperatively, I can see your concerns about nasal tip asymmetry that is worsened with smiling. Personally, I do not believe that narrowing your right nostril would do any thing good for your concern. Since you are on the downhill stretch for swelling, I don't think that this will spontaneously improve. Depending on your examination, you may be a candidate for a permanent non-surgical nose job to perhaps add missing volume to your tip where it could be used for restoring symmetry. Revision rhinoplasty may be a last resort. If you are not having a good feeling about what your surgeon is recommending, sometimes it's helpful to get a copy of your operative report and to get a second opinion. Wishing you well moving forward. Sincerely, Dr Joseph