Which procedure would help me achieve a more symmetrical nose and nostrils? (photo)

Hello! thank you for your question. As far as I can see from your photo your nose looking like crocked to the one way. Also you have hanging columella and that is reason of nostril showing. With rhinoplasty you will have more feminine, slight and elegant nose. It would be more convenient to decide with face-to-face consultation. Best Regards!

You appear to have a wide and long nasal appearance with a hanging columella, excessive nostril show, and asymmetries on front view. Depending upon your examination, rhinoplasty surgery may be considered for achieving a narrower, more symmetrical nasal appearance with repair of your hanging columella. Hope this helps! Dr Joseph

Hello,
Surgical rhinoplasty can help you in improving the shape of your nose and make it more symmetrical. It is better to consult a certified facial plastic surgeon who can examine you and discuss the areas that can be improved in your nose.

Dear Creative988091 ,
Thankyou for providing pictures for a better recommendation. In my professional opinion, the nostril asymmetry is one of the most difficult deformities to be addressed in rhinoplasty field, because of soft tissue limitations. Consequently closed atraumatic rhinoplasty surgery can help to improve the nostrils however, 100% symmetry is not achievable. I am attaching a link for before and after if you would like to look deeper into the procedure and what to expect.
Regards,
TAS TEAM

Thank you for your question. You are an excellent candidate for rhinoplasty. I think it is one of the most beautifying surgeries that we do as plastic surgeons. A large portion of my practice is dedicated to rhinoplasty surgery. It is important to only see plastic surgeons with extensive experience in rhinoplasty, ie perform at least 6 per month and have performed hundreds of cases. Also, critically evaluate on-line galleries to see if their art form resonates with yours. Rhinoplasty is definitely a grey haired plastic surgeon's sport. Best wishes to you.

The nostrils in some cases can be normal and symmetric however the deviation of the columella in the center can give the appearance of significant asymmetry.

In this case there is deviation of the columella towards patient's right along with protrusion of the right medial crural footplate and significant columellar shown both sides.

Instead of alar plasty in this case columellar reduction by removing a triangle of membranous septum behind it along with removing the right medial crural footplate and implanting small piece of cartilage on the left side would give the symmetry.
Regards
Dr. J

Your septal cartilage hangs too low and is giving you what we call a hanging columella. It is also distorting your nostrils and making your tip somewhat droopy. It can be corrected simply by trimming the cartilage at the lower edge of your septum. Very simple to do through closed rhinoplasty if that’s all you want. The problem is that many surgeons don’t recognize or understand this very simple solution. Many will want to do an open rhinoplasty and actually add cartilage grafts to the area because they think every problem can be solved with cartilage grafts. Go on some consults and see what different recommendations are out there

Hello yes you will need to have a Rhinoplasty surgery you will need to make use your cartilage inside of your nose and fix nostrils

What could be done with your nose? it all depends on how far you wish to go. The nostrils are asymmetric .the tip appears to tilt. there is a slight dorsal hump, and the nose is slightly long, with a hanging columella. The tilt of the tip may be due to a deviated septum. A septorhinoplasty could be performed to make the nose more symmetric and slightly smaller if that is your wish.

Having performed several thousand successful rhinoplasties it is imporrtant that you know: Every nose is different and unique to that individual. If the appearance of your nose concerns you enough to do something about it, it can be improved with a natural artistically performed rhinoplasty. What would be the best option and exact procedure would depend on an examination and discussion about desired outcome. Excellent results can be achieved with either a closed or open technique.

Keep in mind that following advice from a surgeon on this or any other website who proposes to tell you exactly what to do based on very limited photos without examining you, physically feeling your tissue, assessing your desired outcome, taking a full medical history and discussing the pros and cons of the operative procedure would not be in your best interest. Natural appearing results need to be individualized and what is appropriate for one patient is not necessarily the best for someone else. I would suggest that you find a surgeon with extensive rhinoplasty experience certified by the American Board of Plastic Surgery and one who is ideally a member of The American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, M.D., FACS

La Jolla, California