The results of my rhinoplasty are very uneven. Is there anything I can do? (Photo)

Question

I've had several rhinoplasties and revisions, but now my R nostril is much larger, both higher and wider. This was supposed to be addressed in my most recent surgery, but the problem still isnt fixed. Is this something that can be corrected? Any advice on how this could be done? Can it be done under local anesthesia with just an alar reduction, or is more required? It looks as if my whole right side is pushed upward, possibly from cartilage?

Jonathan Kulbersh, MD · Answer

Thank you for your question and for the photos you provided. I’m sorry that your previous rhinoplasty surgeries have been unsatisfactory. Since your nose doesn’t appear to have an overly wide base, an alar base reduction is unlikely to address your concerns. Another revision rhinoplasty procedure may be your best option for improving your nasal symmetry. 
A comprehensive exam and thorough understanding of your previous surgeries would be required to form an individualized plan catered to your specific needs. Keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support and scar tissue. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can suggest the best approach to help you achieve your aesthetic goals.

Man Koon Suh, MD · Answer

Your nose problems are believed to be due to dorsal and caudal septal deviations. As a result, lower part of the nasal bridge and nasal tip/columella are crooked to the left, and the right alar appears to be flat.Fundamental correction should be septal correction, and it is better not to do alar base reduction on right side. Because, when performing alar base reduction on the right, nostril notching and too narrow nostril may occur.

David M. Kowalczyk, MD, MBA, FACS · Answer

Hi Ivy! The photos you provided are very helpful. You can certainly improve the issues with your nose. The deviation to the left is likely from forces pulling the nose in that direction. We combat this by placing strong grafts to hold the nose in a proper position. The cartilage material in revision cases most often needs to come from your rib. I would suggest an open procedure to be able to complete everything as precisely as possible. I don't believe an alar reduction will solve all of your requests. Seek consultation with a facial plastic surgeon who performs revision rhinoplasty to see what will work best for you. Hope this helps!

The results of my rhinoplasty are very uneven. Is there anything I can do? (Photo)

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The results of my rhinoplasty are very uneven. Is there anything I can do? (Photo)

Answers (3)

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Recommended reading

Everything you need to know about Revision Rhinoplasty

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