Why are my nostrils uneven and visible from the side? What can I do to correct this? (photos)

Thank you for your question and photos. You appear to be a candidate for alarplasty, a procedure that focuses on altering the base of the nose. Excess tissue can be removed to reduce the appearance of your nostrils and create a more symmetrical and natural-looking result. Correcting nasal asymmetry can often improve breathing issues as well.

Keep in mind that nose surgeries, such as alarplasty, are the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in alarplasty techniques. They will be able to assess your concerns and determine the best course of action.

Your nose features a severely retracted alar rim and hanging columella.
Visible nostrils can be improved by correcting alar rim retraction. Surgery is not an easy operation, but the surgical method is alar cartilage realignment and alar rim graft using ear or septum cartilage +/- composite graft, and a lot of improvement can be expected.
Correction of hanging columella is also required.
Hanging columella correction consists of caudal septum trimming and repositioning of medial crura of alar cartilages.

Hello! Thank you for your question.As far as I can see from your photos you have hanging columella and your nostrils looking upward. With the alar base reduction your wishes about your nose can be achievable. It would be more convenient to decide with face-to-face consultation. Best Regards!

Based on your photos, you appear to have a wide and flaring nasal tip appearance. This also appears to be associated with a long nasal septum, a hanging columella, and excessive nostril show. Well performed rhinoplasty surgery may be considered to both improve your nasal breathing and to Narrow the base of your nose and achieve less nostril show. Please consult with several reputable rhinoplasty specialists who offer computer Imaging so you can see what might be best for you moving forward. I hope this helps! Sincerely, Dr Joseph

Thank you for your question. A large portion of my practice is dedicated to rhinoplasty and revision rhinoplasty surgery. Biggest issue you have is the arched alar rims and the prominence of your lower septum otherwise known as caudal septum. In your case perform a caudal septal excision, alar rim grafting, and alar base (Weir) excisions to improve the disparity and make your nostrils significantly smaller. You should be able to have significant improvement. Best wishes to you.

Alarplasty is a very fine and quick procedure that can narrow the nostrils and reduce the flare to soften the appearance. It has other names as well like ‘Weir Excisions’ or ‘Nostril Reduction’. However, it is important to note that asymmetry of nostrils is common and cannot be corrected with alarplasty. Visit the alarplasty website to learn all about it.
Click on the video link below to see the details.
Regards
Dr. J

In terms of breathing difficulties, it is possible that you have a deviated septum or some other issue affecting your nasal passage. It is recommended to consult with an ear, nose, and throat (ENT) specialist to assess your breathing and discuss possible treatments.

If you are concerned about the appearance of your nostrils, there are several options to consider. The best option would be a rhinoplasty. In good hands, it could reshape your nose and improve symmetry.

Another option is non-surgical nose reshaping, which involves using injectable fillers to reshape the nose without surgery. This procedure can be less invasive and have a shorter recovery time, but results are temporary and may require ongoing maintenance.

It is important to consult with a qualified plastic surgeon to discuss your concerns and determine the best course of action for your specific situation.

I hope this helps,
best of luck !