Flared Large Nostrils After Rhinoplasty

If your nostrils are truly flared and disproportionate after reducing the upper two thirds of your nose, a nostril reduction may be in order.  Fortunately, that procedure is convenient and comfortable under local anesthesia. I agree with the other surgeons- allow 9 months it so for things to settle in before deciding. 

While you do expect some swelling after a rhinoplasty, flared nostrils are usually not related to the swelling. The most likely cause for this is that when the nose was made smaller, the surgeon did not account for the accompanying change in nostril shape. If you take the tip of your finger and push down on the tip of your nose you will see that the nostrils tend to flare. The more you push down on your nose, the more the nostrils flare. Part of the preoperative planning for a rhinoplasty is to recognize that if you make the nose  small enough, you will have to account for the nostril flaring and reduce their size as well.It is likely from your description that the size of the nose changed enough to cause the falring that you are seeing. You can fix this either by making an incision on the outside edge of the nostril or on the inside of the nostril. As long as these incisions are closed carefully, the scars are usually unnoticable.The good news is that nostril reduction can be done at any time using a local anesthetic in the office.