Scar tissue after rhinoplasty. Can my asymmetrical nostrils be fixed? (Photo)

Based on your photos, you appear to have asymmetrical nasal tip cartilages and retraction of the nostril where the black circle is. You do not appear to have thick skin, and what you have circled on the right side appears to be a firm piece of nasal tip cartilage that is often referred to as a Bossa.

Depending on your examination, microdroplet Silikon-1000 injections may be considered for camouflaging the cartilage asymmetry in your nasal tip, and for lowering your retracted right nostril margin. I hope this helps. Sincerely, Dr Joseph

Hi, The area you are pointing mostly is cartilage not scar, but It is better for you to consult with a facial plastic surgeon who can examine you and give you opinion based on your needs and expectations.

Based on your photos, my guess is that hard ball on the left side that you circled is actually a piece of truncated lateral cartilage. ThT means it is not going to get better, it doesn't appear to be scar tissue (so it would not respond to steroid injections). You COULD get filler to try to fix the nostrils but it's a pretty risky location to inject .

Hello! Thank you for your question.
As far as I can see from your photos filling is definitely not safe and is a non-permanent procedure, the safest and most accurate option for you will be the revision operation.
It would be better face to face consultation.
Best Regards!

Hello and thank you for your question. Based on your photographs, you are a good candidate for a revision Rhinoplasty. At 4 years post-op, this is not due to swelling but rather due to asymmetries in the lower lateral cartilages. Your nostril asymmetry can also be improved with a revision. 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