Can this nose ever be symmetrical again with the nonsurgical procedure? (photos)

Hello and thank you for your question. It sounds like your biggest concern is your nasal tip, particularly the shape and the asymmetry of this and your nostrils, as you mentioned. Addressing the shape of the nose (particularly the nasal tip) is one of the most common reasons people seek out and undergo a rhinoplasty or revision rhinoplasty procedure. Given you've previously had a rhinoplasty, and there is no doubt extensive scar tissue present in your tip which could be contributing to the asymmetry, an open septorhinoplasty can best address the entire nose, and is particularly effective for addressing the tip shape, size, and symmetry.

In addition to addressing your aesthetic concerns, your septal cartilage (or an off-the-shelf alternative) would be harvested (removed) and turned into multiple cartilage grafts, which would then be secured into different areas of your nose for structural support, including in the columella (middle bottom portion of your nose between your nostrils) to really reinforce the tip and prevent recurrence of the asymmetry.

The open approach is very effective in facilitating complex, precise maneuvers to refine the nasal shape and size to a particular aesthetic and look. Rhinoplasty is arguably the most difficult procedure to perform in all of plastic surgery. I would only recommend going to see a surgeon who feels very comfortable with both primary and revision rhinoplasty procedures, and who has significant training and experience in these types of surgeries. This is a surgery of millimeters, so if the surgeon you're going to only does 1-2 per month, you are not going to get the best result possible.

Of course it is always difficult to provide tentative surgical recommendations, as there is only so much information to be gained from the photos and description provided.

Dr. Donald Groves, our expert facial plastic surgeon, has extensive training and experience with complex rhinoplasty surgeries, so I’d recommend for you to come see him (or another plastic surgeon who is extremely comfortable with rhinoplasties) for a formal consultation to thoroughly discuss your surgical goals, undergo a formal examination, evaluate all your options (surgical and nonsurgical), and decide on the best procedure(s) and type of anesthesia for your specific case. I hope this helps!

Dr. Emer

In our experience over 25 years, we have had excellent results with lowering retracted nostrils after previous surgery. Our recommendation is to utilize microdroplet Silikon 1000 for a permanent result. I hope this helps. Sincerely, Dr. Joseph