Uneven nostrils from cleft lip and pallet. Can it be fixed? (Photo)

Question

First, what do you yourselves think about the asymmetry? Is it possible to even everything out? The bottom of my nose is lopsided and seems to be pointing in a downward and to the left direction. There must be a way to fix this.

Ronald J. Edelson, MD · Answer

For someone with a cleft lip, you actually look really good.  The only thing I see is that the base of your right nostril is wider than the left.  That can be improved with surgery, but exact symmetry may not be possible.

George Volpe, MD · Answer

A cleft lip and palate deformity significantly affects the nose. The bone, cartilage and skin are all involved and asymmetries are very common. Cleft rhinoplasty usually involves a technique where we open the nose to allow exposure of the asymmetries. Stitches are often used along with cartilage and in some cases bone grafts to improve the shape. There are a number of sub techniques that are utilized and a good exam is necessary. Any information from previous surgeries will allow us to recommend the best management plan for your individual situation.

Kenneth Hughes, MD · Answer

An examination would be helpful in your situation to assess the alar base and the relative tissue amounts.Kenneth Hughes, MDLos Angeles, CA

Christopher Khorsandi, MD · Answer

Cleft Lip and Palate Rhinoplasty surgery is a challenging endeavor due to the relative shortage of tissue.  However corrections and improvement can be made in nearly all patients who previously underwent correction of a cleft lip and palate.  An examination in person is needed to determine the needs of each patient.  As I tell all rhinoplasty patients, cleft or not, perfection can never be guaranteed.  We aim for measurable, significant improvement, that often meets or exceeds our patients goals.

Stephen Weber MD, FACS · Answer

With regard to your result, this is excellent. Yes, you do have some asymmetry that likely can be improved with a cleft rhinoplasty. Seek an in person consultation for specific answers about how much improvement you can expect. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Kristina Tansavatdi, MD · Answer

Yes, rhinoplasty may be able to correct the nostril asymmetry. However, as Dr. Khorsandi mentioned the goal is measurable improvement rather than perfection.

Frederic H. Corbin, MD (license restricted) · Answer

The short answer is yes the asymmetry can be improved the longer answer is that a formal examination is needed Dr Corbin

David Alessi, MD - Account Suspended · Answer

Nasal and alar asymmetry is common after a primary cleft lip rhinoplasty.  Indeed, the asymmetry can be improved.  The exact technique will be determined after an in-office exam.  It would be best if you could bring any operative reports from prior facial surgery with you.  Seek out someone with experience in craniofacial issues.  Best wishes.

Uneven nostrils from cleft lip and pallet. Can it be fixed? (Photo)

Answers (8)

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