One side of my nose is higher than the other. Would I need a Rhinoplasty for this? (Photo)

Hello and thank you for your question. Based on your photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. This can be designed to help her improve your tip symmetry as well. 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

Many thanks for your question. From the limited photo, it is difficult to make a full assessment of your concerns but there does seem to be a very minor asymmetry between the left and right side which, as you measured is only 1/8 of an inch. Surgery can be undertaken by placing a graft to lower the right nostril rim if the rest of your nose is straight. However, as the level of asymmetry is only 1/8 inch, it would be difficult to get the nose more symmetrical than currently and there may be a risk that things could worsen. It would therefore be wise to consult in person with someone who is experienced in rhinoplasty surgery such that they could assess things more formally.
Best Wishes