Will Nostrils Be Symmetric Once Rhinoplasty Swelling Subsides?

I had a septo-rhinoplasty 12 days ago, and my nostrils are uneven. I have noticed it a day after packing removal (day 5). Even though my doctor tells me it's just a swelling problem and the asymmetry will be gone soon, I'm really scared that something is wrong with my septum. Before surgery, I had an un-noticeable deviated septum, my nose was straight, and my nostrils were symmetric. I really need your answers to my problem. Can I hope for symmetry after swelling is off, after a month, maybe? Thank you in advance!

Doctor Answers 5

Swelling and being a 'patient' patient!

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Your doctor is giving you the only advice there is right now. It's much too early to tell if there's a problem with your nose at this point. When the swelling subsides you and your surgeon will have a much better idea of what the final outcome will be. In the meantime you'll just need to relax a bit and know that time is on your side. Keep this picture and compare to pictures you'll take in several months. You should notice a remarkable difference due solely to the reduction of swelling present. The healing process is a critical phase of a rhinoplasty or any other cosmetic surgery. Being a "patient" patient is the best gift you can give yourself!

Dallas Plastic Surgeon
5.0 out of 5 stars 22 reviews

Asymmetry will get better once swelling subsides

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Since it has only been 12 days since your rhinoplasty, your nostrils are very swollen and could be uneven. Unfortunately, you had packing placed inside your nose. The swelling and asymmetry in the nose should get better as time goes on and should subside once swelling goes away. Full healing takes a year after a rhinoplasty.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Healing after Rhinoplasty

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Generally speaking, it can take 6 to 12 months to completely heal after surgery. Please keep in touch with your surgeon or his/her clinical team to discuss your ongoing concerns.

Ross A. Clevens, MD
Melbourne Facial Plastic Surgeon
4.7 out of 5 stars 124 reviews

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Nostril asymmetry may get better as swelling subsides

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Thank you for the question and the photos.  Your nostril asymmetry may be impacted by swelling.  There is also the possibility that the nostril asymmetry is due to the position of the lower lateral cartilages.  At this time it is hard to know how much is due to which source as you can imagine.  I would continue to wait for the swelling to go down and then re-evaluate.

All the best,

Dr. Remus Repta 

Remus Repta, MD
Scottsdale Plastic Surgeon
4.9 out of 5 stars 173 reviews

Asymmetry after Rhinoplasty

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Asymmetry of swelling is very common after any surgical procedure.  Your patience will be rewarded. You will see significant changes over the next several weeks. Appearance will continue to improve for 6-12 months.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 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.