Can nose jobs cause greater asymmetry?

Rhinoplasty is effective for improving nasal symmetry when performed by an experienced surgeon.  It is certainly possible to make the nose smaller but I recommend consulting with your rhinoplasty surgeon to review photographs and discuss the particular changes desired to optimize the appearance of your nose.

The nose can be refined and made smaller with an improvement in symmetry in most cases.  I perform these through a closed rhinoplasty approach without a visible scar to produce a natural result.Find a board certified plastic surgeon who performs hundreds
of rhinoplasties and rhinoplasty revisions each year. Then look at the
plastic surgeon's website before and after photo galleries to get a
sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

 Rhinoplasty is the single hardest operation to perform in the  field of cosmetic surgery. It is  best to look for a very experienced rhinoplasty surgeon to keep the nose symmetrical and in balance with the nasal components and with the facial features.  Experienced surgeons understand the anatomy between the skin, bone and cartilage in the nose. There is no fat in the nose. The upper one third of the nose is bony along the bridge line and the remainder is composed of mid vault upper lateral cartilages, and lower lateral cartilages that form the tip.  It is possible to basically keep the same shape of nose just smaller and more feminine. This is part of the communication process between the patient and the surgeon. For many examples of rhinoplasty and more information, please see  the link below to our rhinoplasty photo  gallery

Whether you can just keep your same nose shape and just make it smaller depends on a lot of tissue factors. You would have to submit pictures of your nose from different angles to help get a more informed answer to your nose reshaping question. Generally a more refined and feminine nose requires more changes than just being 'smaller'.

A Rhinoplasty procedure is a cosmetic operation where the main goal is to improve the appearance, shape and symmetry of the external nose. This procedure deals with external anatomy of the nose which includes the soft tissue envelop (skin), the nasal bones and small pieces of cartilage in the tip. By carefully sculpting these structures, your surgeon can reduce the size of the nose, create better symmetry and make the tip more defined. In some types of noses the contour and shape is improved by adding tissue. The thickness of one's skin, which cannot be altered surgically, will ultimately determine how well defined the surgeon is able to contour the nasal tip. A Rhinoplasty procedure can be done through a closed approach where all the incisions are inside the nasal cavity, or an open approach where there is a tiny external incision. 

Every rhinoplasty is individualized depending on the needs and goal of each patient. Consult with an experienced rhinoplasty surgeon to discuss your problems and describe your alternatives.

It is possible to keep basically the same shape nose, but smaller and more feminine.  Only an exam will determine if this is possible for you.  A skilled Plastic Surgeon knows the difference between bone, cartilage, and fatty tissue in the nose. Consult with a Board Certified Plastic Surgeon who is very experienced in Rhinoplasty surgery to discuss your concerns, options, and expectations.  Every patient is different, and should be treated that way.  Best wishes!