Uneven nostrils after rhinoplasty. Is this fixable through local anesthesia? (Photo)

Question

6 months post op doctor is saying he can do an in-office procedure under local anasthesia to remove cartilage from left side. I didn’t have uneven nostrils before and am furious, he kept saying it was swelling up until this appointment. Is this fixable through local anasthesia?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. I’m sorry that you’re unhappy with your initial rhinoplasty results. It is best to wait one full year after your surgery before assessing your final results, as your nose will be in a stage of recovery until this time. After a year has passed, your nostrils can be made more symmetrical with an alar base reduction. You also may want to consider dermal filler injections to improve your nostril symmetry temporarily at the six-month mark.

When considering revision rhinoplasty, please keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, oversee your recovery, and help you decide on the best course of action.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photos you provided it looks like cartilage have moved to the left side of your nose. This is fixable but I personally don't recommend to do it under local anesthesia. 
Best regards!

Eric M. Joseph, MD · Answer

We have seen Asymmetries at the base of the nose get better from 6 months to one year postoperative. If at all possible, sit tight for another 6 months. If you're very concerned about the appearance of your nose, consider getting a copy of your operative report and Consulting with another reputable rhinoplasty specialist in the meantime. In the end, if there is still a drop of nostril asymmetry on front view, microdroplet Silikon-1000 maybe considered for lowering the left nostril margin to be at the same height as the right, for better symmetry. Hope this helps! Dr Joseph

Uneven nostrils after rhinoplasty. Is this fixable through local anesthesia? (Photo)

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Uneven nostrils after rhinoplasty. Is this fixable through local anesthesia? (Photo)

Answers (3)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.