Is obvious nose asymmetry normal after a rhinoplasty?

 You're still very early in the post-operative stages of healing, so slight imperfections may just be due to swelling. There is nothing emergent to do at this time; certainly let your surgeon know of your concerns.
Best regards.

Hello,Asymmetric nostrils can be a result of several issues including: 
Deviated septum- a deviated central portion can contribute
Asymmetric facial structure- Almost every person’s face is asymmetric and imbalance can lead to difference in nostril appearance
Asymmetric nasal cartilage structure- Natural noses as well as those operated on can have asymmetry resulting in nostril asymmetry
Facial muscle imbalance- Some patients will have a dominant side that they smile or express on leading to imbalance.  Dynamic change (change which happens while expressing) is often a result of muscular imbalance.
Rhinoplasty can be used to make nostrils appear more symmetrical but it is almost impossible to make nostrils exactly the same.  Improvement and not perfection should be the goal.
Best, 
Dr. Anil Shah

Hi Anon,
It is not normal to have "obvious" nasal asymmetry and uneven nostrils 7 weeks post-rhinoplasty unless your surgeon is named Picasso. Yes, very few of us are perfectly symmetric, but it sounds like you have more than just a little asymmetry.
Should you be dissatisfied with your rhinoplasty result 6 to 12 months after your surgery, then you should consider revision rhinoplasty. There is hope to fix your nose.
Surgeon's revision policies vary. In my practice, I will revise my patient's surgery within 2 years without my surgeon's fee. The patient is responsible for the cost of the operating room and the anesthesiologist fees.
If you choose to have a different surgeon perform your revision, then expect to pay the usual fees for a rhinoplasty.
I hope that your nose settles over the next few months and that you will not require another surgery. Be well.
Dr. P

If we look carefully, there is always asymmetry in even the best looking noses. After surgery swelling may go down faster on one side than the other, and the differences narrow over time. It should take 6-12 months for the swelling to diminish. If after that time there is still marked asymmetry then you should meet with your surgeon and consider whether any further steps are necessary.

 This is usually due to swelling and will return to normal in 6-12 months. Be patient and if you are still concerned after that time, return to your surgeon or get a second opinion from an experienced revision rhinoplasty expert.

Anon,
Nasal asymmetry can be present after rhinoplasty. Some of it may have been pre-existent. Some of it may be a result of asymmetric swelling. At this point in your recovery it is too soon to be critical of your result. Give it a few more months for the swelling to subside and skin to contract before seeking a correction. Most of us won't touch a nose for revision until one year after the first surgery. Good luck!

Asymmetric nostrils at two months post-op is still more likely swelling than anything else. Most patients have nostril asymmetry to begin with and this is often exaggerated after surgery. If it is still asymmetric at 4-6 months, then you can consider a revision. I would wait at least 6 and maybe 12 months after your surgery before doing a revision. The cost is extremely variable. Your surgeon will likely give you an estimate of the cost based on where you live, what type of anesthesia, operating facility, etc. Good luck.

 Nasal asymmetry is the norm.  You most likely had some before your surgery and are just a bit more aware of it now as you examine your nose after surgery. Give it some time, it may also be due to swelling.

Hi,
Your nose will go through significant changes in the first few months. It really takes 2-3 years to see the so called "final results" although even after that some changes will occur. The more that was done during the surgery the more shifting and changing you can expect.
Now with that said, tip asymmetry and nostril asymmetry can be often due to asymmetric tip work by the surgeon. Usually there is some asymmetry preop if you look at the photographs carefully but if there is significant post op asymmetry that was not there pre-op and if it is persistent at 3-6 months then a revision is often needed.
correction and cost depend on the type of problem and the surgery needed to correct it. If the correction is a simple matter of a composite or cartilage graft placement then it will be much easier and less expensive than if total tip cartilage reconstruction is necessary.
Talk to your surgeon and give it time and see what happens...

Every face and nose is asymmetric. Following surgery it is normal to study every detail of one's face or nose. Pre existing differences are forgotten or overlooked.
Swelling and the healing process can uncover or accentuate subtle differences.
Discuss your concerns with your surgeon, review your preop photos with the surgeon, and most importantly, have patience and wait 6- 12 months before any revision surgery. Many times healing will correct the problem.
Good Luck!