My nose holes are different sizes any fixes? (Photos)

Nostril asymmetry is very common.  Surgery is usually the answer for permanent fix of this, so if you're open to the idea Be sure to discuss your goals and concerns with your board certified plastic surgeon and consider the pros and the cons. Be certain your surgeon is properly certified.  I've attached a link where you can start your search. 

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  There are many ways to fix nostril asymmetry.  You may have asymmetry of your caudal septum which can contribute to nostril asymmetry.  This may need to be corrected also.   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.  FACS
Harvard-trained plastic surgeon

The base view of your nose appears to reveal a crooked columella that leans to your left, and the base of your nasal septum appears off the midline, and sitting in your right nasal cavity. Consider consulting with several reputable rhinoplasty specialists so you could see what to expect after surgical correction. Hope this helps! Dr Joseph

The photos suggest you have a deviated septum.  More specifically you have a deviation of the caudal, or front/bottom edge, of the septum.  This can be tricky to fix. Make sure you see a board certified facial plastic surgeon.  

Dear Caseykemmerling, thank you for your question. Correcting nostril asymmetry is commonly carried out during primary rhinoplasty, there are a number of different causes for such deformities. Most commonly this is a result of three underlying problems. First, congenital deviation of the front portion of the septum can change the shape of a nostril. Secondly, congenital asymmetry of the lower lateral cartilages can also lead to these types of issues. Lastly, the actual size of the nostril can be uneven if there is excess soft tissue within the nostril causing an asymmetric size to the nostril opening. A detailed examination of the tip of the nose will reveal what solution would be most appropriate. It is therefore important to include possibly a septoplasty, a tip plasty and/or alar plasty as part of the surgical solution depending upon which issue is present. Best wishes,                                                                                                                                            Dr. Tobias

First, all nostrils are asymmetric. In your case, it looks like the lower portion of your septum is in your right airway.  Centralizing this will improve the size of the aperture.

In base view of your nose i see some deviation and that is why it appears asymmetrical. Consider consulting with a facial plastic surgeon to check you and decide what most suit your case. Best regards Dr. Nabil Fakih