What should I do to make my nose symmetrical? (Photo)

Question

The first photo is pre-break in 2011 or so, I then broke my nose and had a closed surgery to set it. It then looked like the second photo. I had a septal perforation repair in 2015, though nothing external was done cosmetically. I was annoyed that my nose used to be so smooth pre-fracture, and wanted that again so I went to the Dr. who fixed my nasal septum for a closed “nasal valve repair” procedure in November 2023. My nose now looks like the last several photos. What is wrong with it?

Eric M. Joseph, MD · Answer

After your nose was broken, there was an obvious indentation along the right side wall of your nose. Based on your most recent photographs, you appear to have a straighter nasal appearance. Probably had a right-sided spreader graft placed to open your right internal nasal valve and to provide for a straighter nasal appearance. I can appreciate some asymmetry at the base of your nose. In general, this is the least important view of your nose. Perhaps you would benefit from going through your before and after photos with your rhinoplasty specialist so you can have your concerns addressed. I hope this helps. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photograph, you may benefit from a revision with placement of spreader grafts and a fascial dorsal onlay graft to help a more symmetric and smoother dorsal contour.   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

What should I do to make my nose symmetrical? (Photo)

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What should I do to make my nose symmetrical? (Photo)

Answers (2)

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.