Nose tip asymmetry - how can this be corrected? (Photos)

I'd be very rare a person had been born with this type of nose, possible but not likely, I believe you got rhinoplasties before with a poor outcome.

Asymmetry is not the main of that nose's problems, yet indeed the domes of the tip are badly asymmetrical and need specific technical focus, also you have open roof, pinched nose with valvular collapse, a bad alar rim retraction, etc.

Seek help from a talented and experienced structure and revision rhinoplasty surgeon.

Hello! Thank you for your question.
As far as I can understand from your question It is not possible to achieve 100% symmetry due to facial asymmetry, but a more symmetrical appearance can be achieved with rhinoplasty. For this reason, I recommend rhinoplasty for you.
It would be better face to face consultation.
Best Regards!

I would recommend a rhinoplasty. There is no better way to change the shape/structure/function of the nose.

Many factors may contribute to the asymmetric appearance of the lower 2/3s of the nose, including a deviated septum, asymmetry between the paired upper lateral cartilages and tip cartilages. Also relevant are any history of nasal surgery or trauma. Some of these issues may be correctable and you may benefit from seeing a board certified surgeon for in-person evaluation.

Have you had rhinoplasty previously? To start, using an injection to make the nose appear more uniform. Or surgery can be performed to correct the asymmetries. Either way, be sure to see a rhinoplasty expert for consultation.

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:
Thanks for your question — and for sharing your photos, which are incredibly helpful in evaluating nasal tip asymmetry.
An asymmetrical nasal tip can be caused by several factors, including differences in lower lateral cartilage shape or position, previous trauma, deviated septum, or even uneven soft tissue thickness. The good news is that rhinoplasty can address many of these causes and restore balance to the nasal tip.
Surgical correction typically involves carefully reshaping or repositioning the tip cartilages to achieve better symmetry. This may include: • Suturing techniques to refine and align the tip structures • Cartilage grafts (often from your septum) to reinforce or even out the shape • Septoplasty if a deviated septum is contributing to the asymmetry • Soft tissue adjustments in cases where thickness varies from side to side
Tip asymmetry can be one of the most challenging aspects of rhinoplasty, so it’s important to choose a surgeon with extensive experience and a keen eye for detail. At Lone Star Plastic Surgery, I take a customized approach to each rhinoplasty, always aiming for natural-looking harmony while respecting your unique features.
For the best outcome, I strongly recommend working with a board-certified plastic surgeon who is also a member of The Rhinoplasty Society — this ensures advanced training and specialization in complex nasal surgery.
Warmly,Dr. Sean HillBoard-Certified Plastic SurgeonLone Star Plastic Surgery – Frisco, TX

The bony base of your nose is also wide, the tip is narrow and asymmetrical. You would benefit from a rhinoplasty and possible septoplasty.

Best Wishes,

Gary Horndeski, M.D.

You didn't post any profile or 3/4 views, but from these frontal views, your nose seems to be quite long, meaning the tip is drooping down. I'll bet the profile view and 3/4 views show that you might like having the tip elevated. Perhaps quite a bit. Then, the upper half of your nose appears to be so wide, unnaturally wide. Have you had surgery on the nose previously? It looks as though there's big graft on your bridge, or perhaps a bump was taken down but the bridge wasn't fixed up after removing the bump. Perhaps I'm wrong about the history, but if I were addressing this nose, I'd start with excellent morphs of the profile and 3/4 views, plan on narrowing the bridge and elevating the tip, and then (all in one operation, of course) addressing any remaining asymmetries. *Only* addressing asymmetries on this nose, without taking on any other issues you might notice, is unlikely to make much of an improvement, and is also unlikely to correct the asymmetries. Also, if narrowing the bridge and elevating the tip are indeed part of the picture, those two corrections by themselves go a long way toward correcting asymmetries, because asymmetries on a smaller nose are simply less apparent and bothersome than asymmetries on a larger nose.
And finally, this is definitely not a procedure that any plastic surgeon can accomplish. You must be careful in selecting your next surgeon.

Based on your photos, I suspect that you have had previous nasal surgery. If you do not mind the width of your nasal bridge, microdroplet Silikon-1000 injections maybe considered for adding permanent volume to your nose for a straighter and less operated looking nasal appearance. If you are looking to achieve a narrower nasal appearance, revision rhinoplasty surgery may become necessary. I hope this helps, and thank you for your question. Sincerely, Dr Joseph

I do see some minor tip asymmetry. It could be due to cartilage graft and secondary tension might be indicated but hard to tell without an in person exam