Which procedure would help minimize the appearance of asymmetrical nostrils? (photos)

Question

My nostrils are asymmetrical. I never noticed until my late 20’s when looking at photos. The base of my nose doesn’t look too crooked from my vantage point. Just wondering what the proper procedure would be and ballpark cost.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from you photos, I can say that your skin is thick due to this you need to be more patient about your healing process. The edema will be go down much more slowly then the usual. Although, your nostril symmetry will be improved with the rhinoplasty surgery. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

Nima Shemirani, MD · Answer

Hi @jch07365! Thank you for sending your photos. Asymmetrical nostrils can be due to a deviated septum. I would recommend an in-person consultation with a board certified facial plastic surgeon to better address your needs and concerns. Best of luck to you.

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. Rhinoplasty can create a more symmetrical nasal structure. This may involve refining the tip to improve the appearance of the nostrils and bring them into balance. It's important to note that rhinoplasty is one of the most complex of all plastic surgery procedures, requiring experience, skill, and even artistry to achieve an optimal outcome. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques.

Suleyman Tas, MD, FEBOPRAS · Answer

Dear jch07365,

Thankyou for providing pictures for a better recommendation. In my professional opinion, the nostril asymmerty is one of the most difficult deformities to be addressed in rhinoplasty field, because of soft tissue limitations. Consequently rhinoplasty surgery can help to improve the nostrils however, 100% symmetry is not achievable. I am attaching a link for before and after if you would like to look deeper into the procedure and what to expect.

Regards,
TAS TEAM

Eric M. Joseph, MD · Answer

You’re correct that the base view of the nose is the least important view from anyone’s vantage point - unless you’re very tall. If your nose overall doesn’t bother you from a functional or cosmetic standpoint, there is no need to do anything. Nostril asymmetry may be from a deviated nasal septum and the decision to repair that would be yours. If you would like to restore nostril symmetry on front view, microdroplet Silikon-1000 may be considered. Hope this helps! Dr Joseph

Zoran Potparic, MD · Answer

Based on these photos, nostril asymmetry is based not only on size but also retraction of smaller nostril. This is most frequently corrected with reduction of larger nostril and placement of cartilage graft along the rim of retracted nostril. However, only on the basis of in person consultation, a board certified plastic surgeon with expertize in rhinoplasty can give you accurate evaluation and plan of treatment. Good luck.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hello! Thanks for your question and photos. Nostril asymmetry can be caused by a number of things. Most often, it's distortion of the caudal septum causing a "pull" to occur. To fix this, open septorhinoplasty is often the best option. This involves a small incision on the columella which heals nicely. The septum can be straightened and that's often enough to make the nostrils go to a more normal, symmetric position. Cost can vary from $4000-8000 based on extent of work and region of the country. I would seek consultation with a facial plastic surgeon who performs rhinoplasty to learn more. Hope this helps!

Which procedure would help minimize the appearance of asymmetrical nostrils? (photos)

Answers (7)

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