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

Question

I’m 5’1, 115 pounds, female. I’m just looking into options to fix nostrils, never had any breathing issues

Andrew Miller, MD · Answer

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.

Semih Yildiz, MD, FEBOPRAS · Answer

The base-view photograph shows a mild difference in nostril shape and height, but a close-up image cannot show whether this comes from the caudal septum, tip position, alar cartilage, facial asymmetry, or camera angle. Some nostril asymmetry is normal and may be more noticeable in a base view than in everyday conversation.

If it remains bothersome, obtain standardized frontal, base, profile, and smiling photographs during an examination. Depending on the cause, a surgeon might discuss a small alar rim graft, cartilage or suture adjustment, limited septal correction, or carefully selected alar-base surgery. Because you like the rest of your nose and breathe well, the benefit of a limited change should be weighed against scars, new asymmetry, and alteration of a shape you already like.

Donald Groves, MD · Answer

Hello and thank you for your question and the picture. Addressing the shape of your nose (especially the nasal tip and nostrils) is actually one of the most common reasons people seek out and undergo a rhinoplasty. An open septorhinoplasty can best address both your aesthetic concerns and any functional issues with your nose. I would be able to adjust the size, shape, and definition of your nose (particularly the tip and nostrils)!

This truly is a surgery of millimeters- and whether you're looking for a minor adjustment or a major transformation, it requires exceptional surgical skill to achieve functional and natural-looking results! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Kyle Kimura, MD · Answer

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

Gianfranco Frojo, MD · Answer

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).

Gary M. Horndeski, MD · Answer

You need to have an in-person examination.  It appears the medial crura is quite widened and you have a septal displacement as well.

Best Wishes,

Gary Horndeski, M.D.

Eric M. Joseph, MD · Answer

Based on your photo, it looks like the bottom of your septum is deviated into the right side of your nasal cavity, and this appears to be causing your columella to drift to your left. Consider meeting with several experienced rhinoplasty specialists so you could see what might be best for you moving forward. I hope this helps! Sincerely, Dr Joseph

William Portuese, MD · Answer

From this limited photograph, you have a deviated septum at the front portion of your nose that appears to be fractured off the maxillary crest. A septoplasty with rhinoplasty would accomplish improvement of your nose and functional breathing.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you are a good candidate for rhinoplasty with septal reset to help produce better symmetry from the base view of your nostrils. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

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

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