Asymmetrical tip of the nose, what would be the best way to fix? (Photos)

Dear LiZ889 From the limited views of you photographs, it looks like you have dome asymmetry that can be repaired by delivering and repairing the asymmetry. Your septum appears straight from what I can see. You have thin nasal skin and the transition between your tip and dorsum is my only concern. The entire asymmetry might be from a displaced/misplaced shield graft. Either way you might need some padding for transition  between your tip and rest of your nose. This is often done by using crushed septum, temporalis fascia or even cadaveric dermis.Look for an experienced plastic surgeon certified by the American Board of Plastic Surgery. See more than one consult. Make a well informed decision. You can have an excellent outcome.

A revision rhinoplasty can accomplish making the nose more symmetrical, especially in the nasal tip. Suture techniques, asymmetrical cartilage removal, and cartilage grafting techniques will all be required to make this knows more symmetrical. Look for a very experienced Rhinoplasty surgeon for best results.

Hello LiZ889 - Thanks for your question. I think an open tip rhinoplasty to reposition your tip cartilages would be necessary to fix what you see. You need other procedures as well to fix the appearance of the tip in all views.  Whether or not you need additional cartilage grafting would depend on what was found at surgery.  In addition, you have very thin skin that shows too much cartilage detail, so I would recommend soft tissue draping of the tip structures to camouflage the visible edges, etc. I would recommend that you consult with a revision rhinoplasty specialist in your area. They will be best able to fix this problem. Good luck, Dr. Shah