Nose is Still Meaty and Nostrils Are Obviously Asymmetric After Rhinoplasty?

I had a meaty nose, esp below the bridge and had difficulty in breathing because of distortion in the nasal septum (although it was not visible). I had rhinoseptoplasty 4 weeks ago. The tip is still too round.. Moreover, nostrils are obviously asymmetric, right nostril is higher than the left one. My surgeon says that all these are because of swelling and asymmetry will not be visible when swelling resolves. Still I am afraid, what if it won't?.. How long do I have to live with it?..

Doctor Answers 4

Meaty Nose with Asymmetric Nostrils

Is is difficult to evaluate you nose just one month after surgery, especially in a patient with thick skin. The swelling may also cause the nostril asymmetry you describe. Be patient for the next 9-12 months and continue to talk to your surgeon.

Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 reviews

Post-rhinoplasty expectations

At 4 weeks after surgery, your nose will be very swollen. There may be asymmetric swelling and you have to give it time to settle down.

Steven Wallach, MD
New York Plastic Surgeon
4.1 out of 5 stars 29 reviews

Rhinoplasty and asymmetry

It is common to have swelling in the post operative phase you are in. The tip is typically the last place where the swelling dissipates. Nostril asymmetry may change during the next few months. I would not consider revision rhinoplasty for at least six months to a year until all of your swelling is gone and then further evaluation and a proper diagnosis may be made. If you would like to send a photograph to my website I would be happy to add further expert opinion. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 210 reviews

If nose does not look good one month after rhinoplasty, you will not be happy.


  Of course do not do anything for six months, but it sounds like eventually you will need a revision.  See two other plastic surgeons.

George J. Beraka, MD (retired)
Manhattan Plastic Surgeon
4.8 out of 5 stars 9 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.