Why are my nostrils still uneven after septorhinoplasty? Is my septum deviating again? (photos)

Question

I had septorhinoplasty to correct a deviated septum and remove a bony lump on one side of my nose caused by injury. At first after the surgery my nostrils looked even (in fact the opposite one to the original one looked a tiny bit bigger) now 3 1/2 weeks later the original small one is getting smaller every day. Is it going to go back to how it was before, was the surgery a complete waste of time? I really don't want to go through another surgery. What has caused my nostrils to be like this?

Amy K Hsu, MD, FACS · Answer

Dear 9096~Thank you for sharing your question and photos.  Your caudal septum was very deviated before surgery and looks much improved in your post-operative photographs.  Your bridge also looks much straighter on the frontal view.  At less than one month, your nose is still very swollen, and at this stage it will continue to change as the swelling evolves.  It is not unexpected to see some asymmetries and it is too early to tell what your final result will be.Please continue to follow-up with your surgeon with your concerns.Best wishes for your recovery,Amy Hsu

Jeffrey Marvel, MD · Answer

I see very good improvement in the nostril symmetry.  This is a very satisfactory result.  Although your tip looks swollen as would be expected you are making good progress.  I would not worry about the very mild difference in the nostrils.  Most people have this slight variation in the nostrils as a normal finding.  It is not enough to interfere with breathing or appearance.

Why are my nostrils still uneven after septorhinoplasty? Is my septum deviating again? (photos)

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