Can asymmetrical cartilage on my nose domes be fixed? (photos)

Hello,
Thank you for your question. An in-person consultation is essential to determine the certatin reasons of your deformity. Rhinoplasty is one of the most challenging procedures in plastic surgery, and tip plasty is its most difficult aspect. The lower lateral cartilage is (LLC) is the primary structure that is responsible for the shape and function of the ala. I have developed a Novel Technique which is called as Superior-Based Transposition Flap to reshape, relocalize and reinforce the LLC as a support material for both internal and external valves with aesthetic corrections, leaving the scroll area untouched. I use suturing techniques to achieve a narrower, refined and aesthetically pleasing tip. 

Comparing to the open rhinoplasty Closed and Atraumatic technique in Rhinoplasty minimizes swelling and bruises; maximizes healing, prevents tissue damage and eliminates a scar on the columella. To find out more please click on the attached link.

Best Regards

It will important to examine the nose both on the inside and outside to determine the thickness of the cartilage and soft tissue/skin and to develop a plan.. there are tradeoffs for surgery and it is important that the functional aspect (breathing) of the nose remains ..