Uneven, odd looking nostrils after closed rhinoplasty. What can be done? (Photo)

Question

My left nostril is starting to take a shape that’s significantly different from the right. It’s lifting higher and getting higher with time. I wonder if this is a common issue with closed rhinoplasties. Can filler be applied to the opening of the nostril in the future to even it out? I refuse to undergo another surgery. But the difference in the nostrils makes it so obvious I did my nose and it getting more and more noticeable with time. What can be done? 2 months post op.

Gianfranco Frojo, MD · Answer

Nostril asymmetry is often present before the surgery. The surgery will sometimes make the patient hyper-focused on analyzing the nose. Sometimes the asymmetries were already present; they just weren't discussed aloud. If they were not mentioned prior to surgery, it is often concerning when the patient does notice the differences. I would have a very honest conversation with your surgeon about what you see and what you want to obtain as a result. I would have a very honest conversation with your surgeon about what your expectations are and if they are achievable. If this is not possible, I sometimes recommend finding another American Board of Plastic Surgery Certified Plastic Surgeon. I would recommend finding one with experience in rhinoplasty.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi! Thanks for your question. Asymmetries in the nostrils after any form of rhinoplasty can occur. I see what you're referring to. I don't think filler is going to help much. At 2 months, things can change. I often encourage patients to stretch the nostril downward as the nose is "moldable" the first few months. If not, something like a composite graft can be performed in clinic and should help.

Uneven, odd looking nostrils after closed rhinoplasty. What can be done? (Photo)

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Uneven, odd looking nostrils after closed rhinoplasty. What can be done? (Photo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.