Nostril Asymmetry Before and After - Is there any way to improve nostril symmetry without undergoing a full revision? (Photos)

It is untrue that adding a septoplasty, even being the septum deviated, this maneuver would have any purported effect on the nostrils, that's technically ludicrous and sounds to me a salesman's tactic.

Why so? Because you have been born with a congenital assymetry that, in practical terms, has no treatment, that's the hard truth, hard for you and harder for the surgeon that would lose "the sale", hope you get my point, so you were offered a nostril-symmetrizing-septoplasty, alike to an unicorn.

It is true that in cases of burns the nostrils may be constricted and reduced, and some techniques do exist to expand them, always at a high cost in scars and with uncertain success, therefore they are not actually indicated in a minor congenital malformation like yours and within the aesthetic field of surgery, so in practical terms you'd have to have been told "that assymmetry is not worth to treat and actually is a non treatable issue in aesthetics". I say this in spite many nostril assymmetries are treatable with somehow high, high or even very high success within the field of aesthetic rhinoplasties, but ONLY when such assymmetry is due to skeletal disorders and structural causes; in your case, like in burned people, the assymmetry is cutaneous, hence any intervention entails difficult to accept scars and has uncertain outcome (the small nostril would be enlarged but the aesthetic assymmetry would be massively increased, even a unsightly look or a deformity might occur).

IMO your result is not a very bad one but is quite far from today's standards of acceptability, there are visible imperfections, untreated issues, etc, worths a revision if you wish a 8/10 or higher result.

If your biggest concern is your nostril asymmetry on front view, microdroplet Silikon-1000 nasal injections may be considered to permanently lower your left side, so there is minimal or no asymmetry on front view. This may be a welcome alternative to revision rhinoplasty surgery. I hope this helps! Sincerely, Dr Joseph

Alarplasty can help in gross asymmetry but your asymmetry is mild from the frontal aspect. I would strongly advise you against any surgery on the nostrils as the risk of causing further asymmetry is high.
Regards
Dr. Janjua

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty to improve the nostril symmetry. Maneuvers for your surgery would include tensioning of the tip, placement of extended spreader grafts, among other maneuvers. 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