First rhinoplasty results are asymmetrical. Is it worth it to get a revision? (Photos)

Question

I don’t understand why it’s so asymmetrical? I’m unsure about the structure of my nose and I’m thinking about a revision, but I’m scared it’ll get worse.

Eric M. Joseph, MD · Answer

I believe you may be seeing asymmetries in your nose since you have very thin nasal skin. In that regard, I agree with you that revision rhinoplasty is exponentially more difficult than a primary rhinoplasty. Depending on your examination, microdroplet Silikon-1000 injections may be helpful for improving upon nasal asymmetries and indentations, and for lowering your nostril margins for less nostril show. I hope this helps. Sincerely, Dr Joseph

Andrew Miller, MD · Answer

It is very hard to create perfect nasal symmetry, but it does appear that your nasal septum may be deviated to the left in your photos. Straightening the septum can make the nostrils more even and a little tip refinement can be done at the same time. Be sure to see a rhinoplasty expert for consultation.

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Additional photos would be very helpful including a true side profile view. It is possible to correct nostril asymmetry with a revision. Some possible maneuvers include placement of extended alar contour grafts and tensioning the tip. 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

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Tanveer Janjua, MD · Answer

It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done. 
Also, it is very important to remember that nobody will look at your nostrils from below. From the front view the nostrils don't look as asymmetric as from below. Unless the asymmetry is really obvious and disfiguring, it should be left alone.

Regards
Dr. Janjua

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