Can my nostril asymmetry be fixed? (Photo)

Question

I had a rhinoplasty a couple of years ago and for the most part it tuned out well. The only thing that didn't is my nostrils, one of them is hanging lower then other and when I smile my nose tip moves too much too the left. I was wondering if those issues can be fixed?

Nima Shemirani, MD · Answer

Hi @Rickycabs094. The answer is yes. Your concerns can be addressed with a revision rhinoplasty. Refining the tip can help improve the appearance of your nostrils. You may also require grafts as well. O hope this was helpful!

Eric M. Joseph, MD · Answer

We have had good success in improving nostril symmetry after rhinoplasty using microdroplet Silikon-1000. Depending on your examination, either fillers, or revision surgery may be considered. Hope this helps! Dr Joseph

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. A rhinoplasty revision can address the movement of the nasal tip you describe and make your nostrils appear more symmetrical. Refining the tip may improve the appearance of your nostrils, though grafts might be necessary as well. 
It’s essential to note that each subsequent nose surgery becomes more complex due to the loss of structural support and scar tissue. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon with expertise in rhinoplasty techniques. They will be able to review your surgical history and discuss your concerns with you to determine the best approach toward helping you achieve your aesthetic goals.

Ahmet Alp, MD · Answer

Sometimes it is possible to achieve a more symmetrical image with negative massages on the tip of the nose and using the nostril retainer, which we call the nose apparatus. But it is impossible to say for sure. You can see the result by talking to your doctor and doing these applications.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi there! Yes, those issues can be fixed with a revision procedure. If the tip moves, it's likely there isn't enough strong support to resist the movement. Strong grafts at the septum help to prevent this. Nostril asymmetry is more difficult to fix but certainly can be done. Composite grafts and alar rim grafts work well to achieve the outcome. I would seek consultation with a facial plastic surgeon who performs rhinoplasty often or your prior surgeon to learn more. Hope you find this useful!

Can my nostril asymmetry be fixed? (Photo)

Answers (5)

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