I received rhinoplasty ten years ago and one nostril came out bigger than the other. Help? Suggestions? (Photo)
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Doctor Answers 7
The correct answer and treatment for your problem is revision tip rhinoplasty. Although surgery seems like a lot to undergo to correct this problem, it is the right answer for you. Non surgical options will not address the cause of the problem, which is the position and size of the cartilage underneath the skin that makes up the tip of your nose. Start researching plastic surgeons that specialize in revision rhinoplasty and save the time you have spent looking at nonsurgical options.
Cartilage Asymmetry Post Rhinoplasty
Dear sophiamort, You should not be considering any of the methods stated above to help with your current concerns. You need a revision rhinoplasty to address the asymmetry of your tip cartilages which is the cause of the nostril asymmetry. See an expert rhinoplasty surgeon to discuss in detail the techniques which will be used to correct this. Best regards, Michael V. Elam, M.D.
Stop!!! Please do not get cortisone, Botox, or filler injections. Your nostril asymmetry is very clearly (thanks to your photos) due to tip cartilage asymmetry, not swelling, muscle pulling, or lack of soft tissue. Any of these non-surgical options will be insufficient or worse. Similarly, a 'simple' surgical procedure like a rim graft would not address the other aspects of the asymmetry that exist, and frequently doesn't adequately fix the higher alar arch/larger nostril. You would best be served by an open tip revision to reposition the offending side's tip cartilage into a lower position, which would address all asymmetries in an anatomic way. If your surgeon is not a revisions rhinoplasty specialist, go visit a few that are. Best of luck!
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Nostril Asymmetry after Rhinoplasty
There will be no harm in trying the Kenalog injections I doubt this will make any significant difference. While perfect symmetry is not a goal I suggest you consider a revision of your tip to reduce the asymmetry of your wide tip and lift the hanging columella (the strip between your nostrils).
Revision rhinoplasty for nostril asymmetry.
Revision rhinoplasty for nostril asymmetry is what will fix this-not Botox or Kenalog. This can be done by a very experienced revision rhinoplasty surgeon under local anesthesia,
Thank you for the question and the photo but an examination is really needed. So go on some more complimentary consultations and get some opinions and be sure to bring preop photos and your operative note.
Nostril Symmetry Concerns After Rhinoplasty
It's challenging to pursue options for perfect symmetry of nostrils after previous rhinoplasty, but in my view, based on posted photos, I do not see the benefit to kenalog or botox injections to your nose. I believe the safest option would be to consider revision surgery.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.