What options do I have to address my uneven nostrils? (Photo)

Question

Female, 5’3, 130, 34, 9 months after surgery. What are options to address the uneven nostrils?

Randal Haworth, MD, FACS · Answer

If you are experiencing uneven nostrils after surgery, there are several options you can consider to address the issue. Some of these options include:

Wait it out: Sometimes, uneven nostrils may be due to swelling or the natural healing process, and may resolve on their own with time. It's advisable to wait at least a year after surgery to allow your body to fully heal and for the results to settle.
Revision rhinoplasty: If the uneven nostrils persist, you may consider a revision rhinoplasty procedure. This involves a secondary surgery to correct the asymmetry and improve the overall appearance of the nose. It's important to choose a board-certified plastic surgeon who has experience in revision rhinoplasty procedures to ensure the best possible outcome.
Filler injections: In some cases, filler injections can be used to address minor asymmetry or irregularities in the nose. This is a non-surgical option that involves injecting a filler substance into the affected area to improve symmetry and achieve a more balanced appearance.
Non-surgical rhinoplasty: A non-surgical rhinoplasty, also known as a liquid rhinoplasty, is a minimally invasive procedure that uses injectable fillers to reshape the nose. This option may be suitable for minor asymmetry and can be done without general anesthesia.
It's important to discuss your options with a board-certified plastic surgeon who can assess your individual needs and recommend the most appropriate course of action.

I hope this helps,
best of luck !

Jonathan Kulbersh, MD · Answer

Thank you for submitting your question and photos. While much of the post-operative swelling is reduced within four months, your nose will be in a recovery phase for at least one year following your rhinoplasty. It is generally suggested to wait until this entire recovery process is complete to assess your final results before considering a revision procedure. If you’re still unsatisfied with your nose’s appearance at that time, an alar base reduction can be performed during revision rhinoplasty to make your nostrils more symmetrical.

Keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support, scar tissue, and other factors. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history, assess your concern, and help you decide on the best approach.

Nima Shemirani, MD · Answer

Hi @hjkl2023. Thank you for sending your photos. I recommend seeing an expert revision rhinoplasty specialist for an in person examination. There are several options for you that can be determined after examination. Best of luck to you, Dr. Nima!

Selcuk Inanli, MD · Answer

Hello hijk2023 ! Thank you for your question.I have tried to evaluate your case from the information and photos you provided.From the photos it looks like you have an asymmetry between nostrils. I would need more information (like if you have breathing issue or not, did they use cartilage during your first surgery,...) to make a better evaluation.

Eric M. Joseph, MD · Answer

Based on your photos, your left nostril margin appears higher than your right. Depending on your examination, microdroplet Silikon-1000  may be considered for lowering your left nostril permanently for improved nasal symmetry on front view. Hope this helps! Dr. Joseph.

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