How to fix uneven nostrils?


Doctor Answers 9

Uneven nostrils


Thank you for your question. 

There are different kinds of rhinoplasty operations however we can divide them as the one that requires bone excision and the one that does not need bone excision. The main fact that we classify the rhinoplasty operations like that is that the results and postoperative period is associated closely with this fact. In the operations like “nasal tip correction”, “simple rhinoplasty” there is no need for a bone excision however these minor operations cannot be beneficial for everyone. The operation type is need to be determined by the surgeon according to needs of the patient. In these minor operations the rhinoplasty is performed with closed method. The bone and the cartilage tissues are not involved in the surgery directly. Small nasal bumps can be removed in these operations.

In the operation that needs the bone and cartilage tissues to be involved; open approach is used. In the procedures with open approach, the size, shape and functionality of the nose can be improved. The big nasal bumps can be removed and septal deviations can be corrected providing a better nasal airway.


Thanks for sharing your question with us. I recommend you to send your photos to us to give you the advices you want and need, to tell you what type of rhinoplasty you need in case that you need it. Kind regards

Emmanuel Mallol Cotes, MD
Dominican Republic Plastic Surgeon
4.7 out of 5 stars 147 reviews

Nostril asymmetry

While nostril asymmetry is the most difficult area of asymmetry to correct, in most cases it can be improved during rhinoplasty.  While perfect symmetry is not attainable, improved symmetry usually is.  

Donald B. Yoo, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Uneven nostrils

Thank you for your question.  It is hard to tell what the best procedure for you would be without photographs. I would recommend you scheduling a consultation with a board certified plastic surgeon who specializes in rhinoplasty. That way they can perform a physical and nasal examination and give you the best recommendations to obtain your desired results. A technique that is commonly used for nostril reduction/asymmetry is called an alarplasty. This procedure consists of making an incision on the inside or outside of the nostrils then removing a specific amount of tissue. I hope this helps.
Best of luck in your endeavors!

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACS
Pittsburgh Plastic Surgeon
4.9 out of 5 stars 64 reviews


Hello and thank you for your question. There are many ways to fix asymmetric nostrils, but it depends on the etiology and appearance of the asymmetry.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.  The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 67 reviews

Nostril issue

You would have to be evaluated in person to determine what the nostril issue is specifically.  Best of luck.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 24 reviews

Uneven nostrils

That depends on EXACTLY what the issue/cause is. Only after an evaluation visually can a recommendation be made. In the most common circumstance, it is a short procedure under local anesthesia, but it is possible it could be much more complex than that.

Robert H. Hunsaker, MD
Miami Plastic Surgeon
4.5 out of 5 stars 69 reviews

Uneven nostrils

Uneven nostrils can be from many things but the under lying cartilage structure is usually the problem. If the paired lower lateral cartilages are not symmetrical the nostril shape can be different. The skin and bone can also be a problem. See a board certified plastic surgeon for an opinion. Good luck.

Robert Graper, MD
Charlotte Plastic Surgeon
4.5 out of 5 stars 26 reviews

Nostril asymmetry

Correcting uneven nostrils is one of the most difficult things to do in rhinoplasty. However, it can be done in certain cases. The question is how are the nostrils uneven? There are many types of nostril asymmetries, some of which are noticeable and correctable whereas others aren't. Without any photos, no judgment is possible whether or not improved nostril symmetry can be achieved through a rhinoplasty operation and if it is worth it. Please notice the word "improved." Perfect symmetry is typically neither possible nor necessary in most cases.

Thomas J. Walker, MD
Atlanta Facial Plastic Surgeon
5.0 out of 5 stars 16 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.