Is this just swelling after rhinoplasty? (Photo)

Hello, thank you for the photos.  Generally, I am in agreement with Dr. Joseph.  The nasal asymmetry you have, particularly from the front view, may very well improve over the coming weeks to months.  This retraction that you have can be helped with an injection of steroids and other anti-fibrosis medications into the area above your ala (nasal lobule) on your right.  You would couple that with stretching or pulling excercises on that right side.  Sounds simple, but it can make a difference.  Let me strongly caution you from doing anything surgically to correct that particular issue any sooner than 6 months post op.  This can provoke some anxiety but be patient.  As for the "dent" on your nasal dorsum I agree it can be improved with a filler or Silikon, however, I prefer to use your own tissue to correct that at a later date.  The tissue, known as fascia, can be taken from behind your ear and all this can be done under local and access to nasal bridge would be via an internal nasal incision.  Hope that helps, but do be patient and see how things look in a few months.

  From the photos, IMHO, the asymmetry of the nostrils are a direct reflection of a deflected anterior septm to the left combined with tip cartilage asymmetries (the left tip is lower than the right making the left nostril more horizontally oriented).  The indentations along the dorsum seem significant but there's no way to tell if this is swelling or over resection of the dorsal cartilages.

  Having said all of that, IMO, you should have this discussion and follow the post op advice of your Rhinoplasty Surgeon.  Frequently, correcting asymmetric nostrils is not part of the Rhinoplasty plan and only you and your Rhinoplasty Surgeon know what was discussed pre-operatively.  Correction of asymmetric nasal tip cartilages, IMHO, would require specific tip plasty techniques designed to even them out.  As the tip cartilages become more symmetric, so go the shape of the nostrils.  Hope this helps.