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Asymmetrical side profiles? Benefit from rhinoplasty? (photo)

10qwert23Jan 3, 2025
Hello, I am considering a revision rhinoplasty. My main issue is that my nose looks very elongated and even droopy from the right side. I am happy with the way it looks on the left side and wondering if a rhinoplasty can help with this difference? My previous rhinoplasty was to fix a deviated nose. It definitely made a positive improvement. I had a radix grade placed and hump removed.

Answers (3)

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Dr. Eric M. Joseph, MD
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Dr. Eric M. Joseph, MD
Board Certified Facial Plastic Surgeon
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Answered on Feb 22, 2025
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Dr. Andrew Miller, MD
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Dr. Andrew Miller, MD
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Answered on Jan 16, 2025
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Dr. Richard G. Reish, MD, FACS
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Dr. Richard G. Reish, MD, FACS
Board Certified Plastic Surgeon
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Answered on Jan 15, 2025
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Eric M. Joseph, MD

Based on your photo, I can see that you have deficiency of cartilage in your left nasal tip, and your nostril margins are also High and a bit asymmetrical. Sometimes microdroplet Silikon-1000 injections can be useful for permanently adding volume to somebody's nose after previous surgery to...

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Eric M. Joseph, MD

Starting your photos, you are likely seeing cartilage in your nasal tip, after your rhinoplasty surgery. If you liked how your nose looked when your tip was more swollen, depending on your examination, a permanent non-surgical nose job may be considered for adding volume to your nasal tip to...

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Eric M. Joseph, MD

When I switch from your before to more photos, I honestly cannot tell the difference. In general, a columellaplasty Is performed to elevate a hanging columella, and this is best seen on a profile view. I know that you are unhappy with your results, however, you do not have any significant...

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Eric M. Joseph, MD

Without examining you, it is impossible to tell if your wide nasal tip is due to excess cartilage, or thick skin, or possibly scar tissue. I am not a fan of operating on somebody simply to remove scar tissue. It would be nothing to prevent it from returning, and results of rhinoplasty tend to be...

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Andrew Miller, MD

If the asymmetry bothers you, a revision can be done to just address the tip. The skin will be lifted up and the tip refined and made more symmetrical. Be sure to see a rhinoplasty expert for consultation.

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Eric M. Joseph, MD

Believe it or not, most people will have temporary heaviness of their upper lip and decreased ability to elevate their upper lip after rhinoplasty surgery due to cartilage grafting that is placed at the base of the nose. Please consider re-asking a question with both before and after photos for...

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