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.

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.

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.

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

This type of nose deformity can be treated only by means of septorhinoplasty. In person consultation with an experienced, board certified plastic surgeon, with expertise in rhinoplasty is recommended. Good luck.

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. This can be designed to help improve tip symmetry also. 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