Asymmetrical nose tip - how can this be fixed? (Photos)

Question

I had a septo rhinoplasty. Unfortunately something went askew. I believe a LCSG became warped early during the healing process. I can literally feel it pushed forward plus you can see it / feel it. Sometimes it hard to breath well. In addition to this the cartilage on my nose is off and actually looks like a section is missing. I feel botched. Is there anything that can be done to fix this? My PS claims if he tried to it may look worse. Suggested adding filler. Thanks for any insight

Oakley Smith, MD, FRCSC · Answer

Hi, It is better for you to consult with a facial plastic surgeon who can examine you and give you opinion based on your needs and expectations.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your basal view photograph, you may benefit from a Revision with a Nasal Tip Deprojection and placement of a mastoid fascia graft to provide better tip symmetry. The frontal view is blurry and difficult to evaluate. 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

Eric M. Joseph, MD · Answer

We can see an asymmetry at the nasal base photograph, however, your frontal photograph appears to be pleasing. In that regard, it is difficult to advise you on your condition. Thank you. Sincerely, Dr Joseph

Alper Burak Uslu, MD, FEBOPRAS · Answer

Most of tip asymmetries are caused by improper tip (alar) cartilage resting angle, strength and symmetry. Even milimeters matter is that matter. It appears to be right side lateral leg of tip cartilage is weaker than the left, hence to inward arching. One would need to reopen the tip, and perform a tip plasty from scratch, equilizing the foremost bending of tip cartilages (nasal domes) and supporting the lateral crura with grafting.

Michael S. Kluska, DO · Answer

This can be a common problem after open rhinoplasty due to scar tissue. That said, you have 2 options&hellip; surgical revision or placement of a structural long acting filler like Volux. I would try filler first with surgery as last resort.

Asymmetrical nose tip - how can this be fixed? (Photos)

Answers (5)

Answer: Asymmetrical Nasal Tip Correction

Answer: Asymmetrical Nasal Tip Correction

Answer: Tip asymmetry

Answer: Tip asymmetry

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Asymmetrical nose tip - how can this be fixed? (Photos)

Answers (5)

Answer: Asymmetrical Nasal Tip Correction

Answer: Asymmetrical Nasal Tip Correction

Answer: Tip asymmetry

Answer: Tip asymmetry

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Recommended reading

Everything you need to know about Rhinoplasty

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