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Breathing and aesthetic issues after second rhinoplasty in 2019. Do I need a 3rd revision? (Photos)

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Anon483759Nov 19, 2025
My primary rhinoplasty was in 2012. They slimmed down my nose and performed an alarplasty as well. My nostrils were uneven and one closed slightly. In 2019 I was in an accident and had a big impact to the left side of my nose, leaving it crooked. I had a septoplasty and the Dr took the chance to shorten my nose. My nose was left very wide and still crooked. He went in a second time and my nostril now closes completely, I have issues breathing and the lower profile of my nose is very wide. The left side is the worse (where the impact happened). There is a dip and a large bulk that I feel is the graft. Can someone please lay out my options? Is another revision too much of a risk? Do I have enough cartilage and is this too complex?

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Dr. Richard G. Reish, MD, FACS
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Answered on Nov 21, 2025
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Richard G. Reish, MD, FACS

Hello and thank you for your question. Based on your photographs, you are a great candidate for a full revision rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip derotation, placement of extended alar contour grafts , among...

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Tanveer Janjua, MD

Nostril Asymmetry 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...

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Eyup Bozkurt, MD

From your photos, it’s clear that there is a significant structural asymmetry in the nose. While facial asymmetry exists in everyone, the degree and pattern of asymmetry in your nose cannot be explained solely by facial imbalance. The cartilage placed in the columellar area does not appear to b...

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