Nostril Asymmetry After Rhinoplasty - simple fix or revision? (Photos)

Hello! Thank you for your question.
As far as I can see from your photos you should definitely have a revision operation in line with your surgeon's guidance. While doing research, I recommend that you pay attention to the fact that your doctor is a surgeon in the field of ent and facial plastic surgery, doing research will be useful in eliminating the question marks in your head.
Best Regards!

It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done.
Also, it is very important to remember that nobody will look at your nostrils from below. From the front view the nostrils don't look as asymmetric as from below. Unless the asymmetry is really obvious and disfiguring, it should be left alone.

Regards
Dr. J

Hello and thank you for your question. Based on your photographs, you may benefit from a revision with placement of extended alar contour graft placement and nasal tip deprojection. Ear cartilage is not a good choice for this as it lacks structural integrity. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon