My nostril's are not symmetrical, how can I fix this? (photos)

My right side nostril is lower than the left one and also i have a small dent and shadow on the top right of my nose. is there a nonsurgical way to fix this? do i have deviation or any other problem? i wanted to do rhinoplasty to make my nose smaller but I'm afraid it won't turn as good as i expect i appreciate your advice

Doctor Answers 5

Symmetery of nostrils

Thanks for your question.

The nostrils do appear asymmetric from worms eye view, however, from the frontal view, your nose is not very asymmetric.  Most people who see you, will see your nose from the front.  While you could undergo surgery for the nostril position, trying to correct it from the bottom might put you at risk for changing the shape of the nose from the front which could be more unfavorable if you don't like the result.  

I would recommend that you see a board-certified plastic surgeon in your area and have a full examination and evaluation for nasal symmetry, breathing, and operative plan to help you prioritize what is best for you.

Hope that helps,

Christopher C. Chang, MD

Washington, DC, Maryland, and Virginia

Washington DC Plastic Surgeon
5.0 out of 5 stars 18 reviews

Alar batten grafts

Hello and thank you for your question. Based on your photograph, you may benefit from alar batten grafts to improve nostril symmetry.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system. The most important aspect is to find a surgeon you are comfortable with. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Richard G. Reish, MD
New York Plastic Surgeon
5.0 out of 5 stars 131 reviews


More than a deviation, you have a small asymmetry between the left and right side of your face. Everybody has a small asymmetry and that shows in the positions and shape of every part of the face, can be the position and shape of the brows, lips, ears, etc. A non surgical option cannot fix the asymmetry on your nostrils, it will be with a surgery to decrease the alar flaring and for the tip of the nose a rhinoplasty to improve the symmetry on that area. Please consult with a Board Certified Surgeon, with an in person consultation, to discuss your goals and to understand the procedure and limitations for the surgery.

Juan Carlos Fuentes, MD
Mexico Plastic Surgeon
4.7 out of 5 stars 65 reviews

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Nonsurgical vs surgical rhinoplasty

Thank you for your question and photos. Your nose has a lean to the left and middle part is concave a little bit. A non surgical rhinoplasty can help fill the right side to contour it and make it look straighter. It has limitations however because you can only add, and nose can appear longer or broader. The surgical approach is likely more ideal for you. You can expect to have a straighter a nose and more symmetry. But you should be aware that perfect straightness, perfect nostril size, and perfect symmetry is very difficult to achieve in a nose that is already crooked and depends on several factors, not just surgical technique. Discuss your expectations with your prospective surgeons and decide based on what they tell you. Good luck

Jeffrey Jumaily, MD
Beverly Hills Facial Plastic Surgeon
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Thank you for your question and photographs.

Unfortunately, there isn’t much you can do to permanently correct the things you are unhappy with about your nose nonsurgically. It appears that you would benefit from tip refinement and an alarplasty. A tip rhinoplasty includes trimming the lower lateral cartilages and placing precision sutures to refine the tip and make it look more pleasing. An alarplasty is the technique that is commonly used for nostril reduction and this procedure consists of making an incision on the inside or outside of the nostrils then removing a specific amount of tissue to make them smaller and more symmetrical. I hope this helps. Best of luck in your endeavors!

James Fernau, MD, FACS
Board Certified ENT
Board Certified Plastic Surgery
Member of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

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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.