Best route to fix uneven nostrils? I’m happy with my overall nose shape, just seem to have uneven nostrils. (Photos)

Thanks for the question and the photo.
My guess is that you have a deviated septum which is partially occluding the right side (left in the picture) of your nose. I'm a bit surprised you don't have breathing issues given how things look on the photo. If this is your only concern a basic septoplasty may be enough to get better symmetry without needing a full rhinoplasty. I would recommend scheduling with an Otolaryngologist or a Plastic Surgeon to discuss what may be causing this asymmetry and determine the best options.
Hope this helps!Kyle Kimura, MD

I would recommend a rhinoplasty. This will permit putting the midline structure actually in the midline (the septum). In addition, you need cartilage grafts to open the nostrils (external valve collapse).

Based on your photo, if you are only concerned by the different nostrils, then a septoplasty may correct that. A septoplasty can be done with a rhinoplasty at the same time if you are interested in improving the shape of the nose. Be sure to see a rhinoplasty expert for consultation.