I have uneven nostrils 1 month post-op open rhinoplasty, is this just swelling? (Photo)

That's a great question.  It's possible it's swelling, but since we didn't operate on you, it's impossible to tell you from a photo.  Only your own surgeon can give you a clear answer on this question.

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  It is very normal to be swollen at one month.  In order to evaluate your nostril asymmetry, it would be helpful to see your pre-operative pictures.  I recommend that you maintain close follow-up with your surgeon.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Hello and thank you for your question and photograph.  Although it is still early in your recovery, I would examine any preoperative photographs to see if there was any remote asymmetry in your nostrils before.  I would then follow up closely with your plastic surgeon as swelling subsides further. Good luck.Mark K Markarian, MD, MSPHHarvard-trained Aesthetic Plastic Surgeon