One of my Nostrils is Higher and Less Attached Than the Other. Can This Be Fixed?

I read your concern and reviewed your photo. In my practice, I have had good success, and many happy patients lowering nostril margins with Silikon-1000, an off-label permanent filler. I've attached a photo from my RealSelf gallery demonstrating this effect.

I hope this is helpful for you.

Although the degree of asymmetry can reduced with an alar-facial groove incision and lower lateral cartilage rim graft, perfect symmetry may be difficult to achieve.

This can be improved with a nostril only operation. However, the nostrils will never be perfectly the same. See an experienced rhinoplasty surgeon.

It looks as if you have a slight facial asymmetry where the left side of your face is a little smaller than the right.  This causes the nasal tip to lean towards one side. The septum typically leans as well in those situations. This results in mild tip deviation and nostril asymmetry as you have shown in the photograph. The facial asymmetry also typically causes one nostril to look attached at a higher or lower point than the other.

A surgery including septoplasty and a small graft underneath your nostril attachment can typically correct this quite nicely. The other option is to have some filler injected underneath that nostril and see if the new appearance is what you were hoping for.

Best of luck

Hi Snow,

Best to consult with a few rhinoplasty specialists.  Choose your rhinoplasty surgeon most carefully.  Good luck and be well.

Dr. P