Rhinoplasty and asymmetrical nostrils. Does it need a second surgery? (Photo)

Question

Dear Doctors, I had rhinosectoplasty surgery 4 months ago. Frontally it seems to slope to the right and the nostrils are asymmetrical. I contacted the surgeon, who explained to me that some asymmetry is normal and that the difference is minimal, at most one year later one can intervene with hyaluronic acid. In your opinion can this difference be reduced over time? . Does it need secondary surgery? Or with hyaluronic acid could it be fixed? Thank you very much

Eric M. Joseph, MD · Answer

Four months post-operative is too soon to judge your final rhinoplasty result. That said, however, you appear to have relatively thin nasal skin along with asymmetrical nostril heights where, where your right side is higher than your left. If you're nostril asymmetry is the only thing that's bothering you about your rhinoplasty result, microdroplet Silikon-1000 injections may be considered for permanent nostril lowering and improved nostril symmetry. Hope this helps! Sincerely, Dr Joseph

Jonathan Kulbersh, MD · Answer

Thank you for your question and photo. Being that your initial surgery was only four months ago, it’s possible that you’re still experiencing some residual swelling that can greatly impact your ability to assess your final result. If you’re still unsatisfied with your nostril symmetry after a full year has passed, your nostril symmetry can be addressed during a revision. After the six-month mark, you can consider hyaluronic acid dermal fillers to alter your nose’s appearance temporarily.

When considering revision rhinoplasty, please keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. 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, assess your concern, and help you decide on the best course of action.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.From the photo you provided it looks like your nose is deviating to the right side. Your nostrils look asymmetrical. Did you use a nose retainer after your surgery ? Did your surgeon use any ear/rib cartilage during your first surgery ? I also need to see your nose pre-op.
I would need more information to be able to give a more detailed feedback.Best regards!

Rhinoplasty and asymmetrical nostrils. Does it need a second surgery? (Photo)

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Rhinoplasty and asymmetrical nostrils. Does it need a second surgery? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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