Can my crooked nostrils be corrected with a revision rhinoplasty? 2 years post op (photos)

Question

2 years ago I had a rhinoplasty and a septoplasty. Since the day I took the cast off I noticed my crooked nostrils and I suspect this is due to the cartilage graft that was inserted in my nose. Although I did have a deviated septum my nose tip was definitely not crooked. I’m considering a revision rhinoplasty and i’m wondering whether this is something easy to fix or if I should just let it go.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can see from your photos, there is a serious nasal asymmetry and nasal tip sagging. It is possible to get rid of this image and get a nose that is compatible with your face with a single operation, for this I recommend you a revision rhinoplasty operation.
It would be better face to face consultation.
Best Regards!

Gary M. Horndeski, MD · Answer

Yes, you would benefit from a rhinoplasty and septoplasty.  The nasal columella angle needs to be 110 degrees and you have too much columella show.  You will need a revision.

Best Wishes,

Gary Horndeski, M.D.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you appear to have nostril asymmetry, alar retraction, and lack tip refinement. This could be improved with a revision surgery which could include tip refinement, placement of extended alar contour grafts to improve nostril symmetry and improve alar retraction, and correction of the hanging columella. 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

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have a hanging columella, and the crookedness of your columella is seen best on your second up close photograph. Oh this could be from a cartilage graft like a colliemella strut graft, I suspect you may have a persistently deviated nasal septum that could be causing your columella to be off the midline. This would be an excellent topic of discussion to have with your surgeon or another reputable rhinoplasty specialist. Thank you for your question. Sincerely, Dr Joseph

William Portuese, MD · Answer

The nostrils will always be somewhat symmetrical, that's normal. You do have a hanging columella, which can be addressed with the revision rhinoplasty.

Mats Hagstrom, MD (license on probation) · Answer

To make an accurate assessment of the outcome of any plastic surgery procedure, we need to see a complete set of proper before and after pictures.
The pictures you’ve included are taken a different angles and do not allow for an accurate assessment.
All people have substantial facial asymmetry and whenever Looking at issues related to asymmetry of the nose we need to always put those in context with the rest of the face.
Your post is insufficient to give you a quality recommendation.
Consider reposting with a complete set of proper before and after pictures.
If you don’t have a complete set of proper before and after pictures, then ask your surgeon to forward the ones they took.
Best,
Mats Hagstrom MD

Can my crooked nostrils be corrected with a revision rhinoplasty? 2 years post op (photos)

Answers (6)

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