Can filler fix my uneven nostrils? (Photo)

Question

I just got my nose done 13 days ago and before rhino had uneven nostrils now it seems worse. Can filler fix this or would a alar wedge extension be my best option ?

Donald Groves, MD · Answer

Hello and thank you for your question and the pictures. Unfortunately no- assuming your nostrils are still uneven by now (almost 2 years later), you would actually have a VERY difficult problem to fix. Your tip/nostril asymmetry after a prior rhinoplasty is due to either 1) an issue with the initial surgery, or 2) due to contractile scarring forces, which can unfortunately distort rhinoplasty results over time as the underlying tissues heal and shrink, altering the shape of the nose. There are certain maneuvers which can be performed during rhinoplasty surgery to prevent such retraction and distortion- I actually perform these preventative maneuvers in all my rhinoplasty surgeries for this very reason. Because filler is not strong enough to overpower the extensive scar tissue present, you would need a revision rhinoplasty to properly correct your issue and to solidly reinforce the entire underlying framework to assure you get the BEST long term results. Anyone who tells you otherwise is doing you a HUGE disservice!

Revision rhinoplasty is truly a surgery of millimeters- they are the most technically challenging procedures in all of plastic surgery! Because your nose is the DEFINING feature of your face- I would only recommend seeing a surgeon who specializes in revision rhinoplasty procedures, and who has significant training and experience performing these surgeries. I actually trained under one of the world leading revision rhinoplasty experts (who performs 1,000+ nosejobs annually).

I recommend for you to setup a formal consultation with me (or another plastic surgeon who is extremely comfortable with revision rhinoplasties) to thoroughly discuss your surgical goals, undergo a formal examination, evaluate your options, and develop a personalized plan just for you. I hope this helps!

Dr. Donald Groves
Aesthetic Plastic Surgeon

Eric M. Joseph, MD · Answer

Many times a small amount of asymmetry of the nasal base is due to swelling after rhinoplasty surgery. At this time, it may be too soon to determine whether or not this would be right for you. If you have persistent nostril asymmetry 3 to 6 months after surgery, depending on your examination, microdroplet silicone 1000 injections may be considered for improving upon nostril margin symmetry. I hope this is helpful! Sincerely, Dr Joseph

Barry Kusman, MD, FACS (retired) · Answer

I would not do anything so soon after surgery. I would wait a few months for proper healing and for all the swelling to subside then reevaluate.

Can filler fix my uneven nostrils? (Photo)

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Can filler fix my uneven nostrils? (Photo)

Answers (3)

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Everything you need to know about Nonsurgical Nose Job

Our mission is to create a world where every investment in modern beauty is Worth It.