Different sidewalls of the nose, is it fixable?

Question

I had a septorhinoplasty in August to fix a highly deviated septum and a dorsal hump. I love my side profile but my nose doesn’t lie in the middle of my face, my doctor said it’s because the middle of my eyebrows and lips don’t line up so he did it like that, but i wanted the nose in the middle of my face, also one side of my nose is concave whilst the other is convex, if I have a revision can the side walls become symmetrical or is that not possible, since my doctor said it’s not? Sorry no photos.

Lucian Ion, FRCS · Answer

I would start by saying that facial asymmetry is universal and that there is no genuine midline of the face, so even the straightest nose has some degree of deviation depending on what you use as reference. That being said, 
It is possible in general to create the impression that the nose is reasonably straight.
If you feel further correction is needed, your first option would be to use injectable filler on the concave side to see if it gives you sufficient correction. This may however produce too much widening of the bridge.
In terms of surgical options, high septal deviations are more challenging and I find that ultrasonic instruments open more avenues for correction.
In consultation, it is possible to evaluate the anatomy and on a computer simulations to understand better what you would describe as a straight position of the nose, which would allow assessment of feasibility.

Oakley Smith, MD, FRCSC · Answer

Sometimes differences between the left and right sidewall can be improved with small amounts of nasal filler.

Different sidewalls of the nose, is it fixable?

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Different sidewalls of the nose, is it fixable?

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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.