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

Question

I had a rhinoplasty last year to address a jump on my nose and also ended up getting my rip raised a bit. I had some nostril asymmetry before the surgery and unfortunately after the surgery it looks so much worse. I'm wondering what my options are. I know I had some asymmetry before but I feel like maybe my columella was sewed on crooked? I am going to go to a follow up with the performing doctor and maybe get a second or third opinion, but I would like to go into this having some info.

Jonathan Kulbersh, MD · Answer

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.

Nima Shemirani, MD · Answer

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!

David M. Kowalczyk, MD, MBA, FACS · Answer

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!

Selcuk Inanli, MD · Answer

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!

Eric M. Joseph, MD · Answer

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

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

Answers (6)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

Answer: After you follow up with your surgeon, definitely get a second opinion.

Answer: After you follow up with your surgeon, definitely get a second opinion.

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Everything you need to know about Revision Rhinoplasty

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

Answers (6)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

Answer: After you follow up with your surgeon, definitely get a second opinion.

Answer: After you follow up with your surgeon, definitely get a second opinion.

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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