I had rhinoplasty done back in 2000. I had a bump on my nose that was fixed. The surgeon did a minor refinement on my tip. He also lifted the angle of nose a little bit. I dont like the fact that i have one nostril bigger than the other. The surgeon didnt touch my nostrils. Is it possible to make the bigger nostril match the smaller one? Is this fixable?
Uneven Nostrils - Can This Be Fixed?
Doctor Answers 15
Nostril and tip Refinement in Secondary Revisional Rhinoplasty
In my opinion, an expert level rhinoplasty is always performed in a closed technique and ALWAYS involves grafting to add to the structural integrity of the nose. The act of opening the nose even under the closed technique causes healing and some contraction, thus for a long term beautiful result the nose must be left more structurally sound than it was found. This is missed upon most rhinoplasty surgeons.
In secondary cases such as yours it is even more crucial that sound grafting techniques are used. It sounds like at a minimum you will needa columellar strut but a complete L-strut and alar strut. I Definitely do not consider any rhinoplasty procedure that does not include grafting preferably by an experienced Plastic and reconstructive training with ddition fellowship level craniofacial and aesthetic training. Of course this is my bias because it is my training but I think this level of training is very necessary for success in secondary and tertiary rhinoplasty because there is delicate nuance involved and every patient requires different maneuvers. I hope this helps!
All the best,
Rian A. Maercks M.D.
Uneven nostrils can be due to a deviated caudal septum, asymmetric lower lateral cartilages and differences in the size and shape of the alar lobules (especially after Weir excisions). Additional views of your nose would be helpful to determine the best combination of procedures to improve you nostril symmetry.
Fixing uneven nostrils
Asymmetries on the tip and nostrils are very difficult to fix. With some limitations, cartilaginous grafting techniques can be performed to augment the weaker side. An alar rim graft may help with the right nostril. Sometimes a septoplasty can straighten the columella to allow better breathing. Spreader grafts can also help if there is a concave upper lateral cartilage creating a retraction of the tip on one side.
For many examples, please see our rhinoplasty photo Gallery link below
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Rhinoplasty revision for uneven nostrils
IF you are otherwise happy with your nasal appearance, I would urge you to be cautious in undergoing any additional surgical procedures as there is a risk for causing other secondary problems with the apperance of the tip. Currently, I don't believe the vast majority of your public would even notice the findings you describe.
Uneven nostrils can be repaired.
I read your concern, and I saw the base view of your nose that demonstrates your nostril asymmetry. Very few people will view you from this angle, so if you're otherwise happy with your appearance, I would not recommend revision rhinoplasty surgery.
In general, the smaller side is repaired to restore symmetry, and maintain your airway. I think making your left nostril small like your right could impair your breathing.
All the best from NJ.
Perfectly symmetrical nostrils are rare, but yours can be improved. You state that you would like to reduce the larger nostril, but that may compromise nasal breathing. Consult with your surgeon or see a revision rhinoplasty specialist to discuss alternatives.
Correction of nostril asymmetry
Additional surgery is definitely an option is your are concerned about your nostrils. It would likely require more support on the right, collapsed side using your own cartilage. However I find that correction of nostril asymmetry is one of the most difficult things to promise in rhinoplasty. Experienced rhinoplasty surgeons definitely get improvement, but rarely perfect symmetry. So please keep this in mind if you consider more surgery.
Uneven Nostril Correction
Nostril asymmetry after a rhinoplasty can most likely be corrected by a secondary procedure. To be sure, it would be useful to see your before photos. Discuss your concerns with your doctor and let him give you his recommendation based on your pre-operative condition and the procedure actually done.
Nostril Shape Following Rhinoplasty
Sorry to hear about your situation with the nostrils. Looking at your photo, it appears that your right nostril is smaller than it should be, which is likely related to something done during your rhinoplasty procedure. In many cases, this deformity can be seen when too much cartilage is removed from this region of the nose. The cartilage that normally supports the nostril rim is no longer present, leading to collapse much like you have in the photo. The corrective procedure would be to open the nose during a revision rhinoplasty procedure and reconstruct the nostril rim using cartilage grafting technique. This should help restore a more sound anatomical support for the nostril with the end result being more nostril symmetry. Make sure you consult with a revision rhinoplasty specialist in your area. Good luck.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.