Nostrils asymmetry looks worse, what can be done about rhinoplasty results? (Photos)

Thank you for your question and photos. You would likely benefit from revision rhinoplasty to correct your nostril asymmetry. During this procedure, an alar base reduction can be performed to bring the nostrils into balance. This generally involves making an incision in the crease where the nostril meets the cheek, removing the appropriate amount of tissue to promote symmetry, and meticulously stitching the incision where it can heal hidden in the nasal crease.

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, discuss your concerns with you, and determine the best approach.

Hi @cccann! Swelling can last up to 12 months after a primary rhinoplasty. If you are still unhappy after 12 months, I recommend consulting an expert rhinoplasty specialist. Best of luck, Dr. Nima!

Hello! Thank you for your question.From the photos it looks like your nostrils are really uneven. Anyway as you may already know 100% symmetry is not achievable most of the time. If you get a revision you will most probably need cartilage reconstruction especially for the tip, and you will have to wear a nose retainer on the post-op.Best regards!

Sometimes crookedness of the nasal base and nostril asymmetry can be due to a persistently deviated nasal septum. The only way to determine this would be by examining you and by examining your preoperative photos. After getting an opinion from your surgeon, a second opinion may be in order. Hope this helps! Dr Joseph

Hi there! Sorry that you're experiencing trouble with your outcome. Asymmetries are very important to monitor and they can often be improved. If you're close to the 1 year mark, you may be ready for a possible revision. Visiting again with your surgeon is very important to voice your concerns as he or she knows your nose the best at this point. A deviation could be a result of improper grafting and stitching but it's hard to say from photos alone. Getting other opinions is always worthwhile so you can make the most informed decision possible. Hope this helps!

Much more information is needed, such as a full set of facial photographs from all angles, and not just looking up your nostrils. You appear to have alar retraction in one nostril. If that's the case, a composite graft of skin and cartilage harvested from the ear can accomplish improvement. Your nostrils will never be perfect, just improved. Also need to wait at least a year before embarking on a revision rhinoplasty