How do I fix my asymmetrical face and ugly nose, uneven nostrils?! Is rhinoplasty needed? Help me. (photos)

Hello and thank you for your question. Based on your
photograph, you may benefit from a tip refining rhinoplasty. Your surgeon can
accomplish this by trimming, suturing, and reshaping the cartilage in your
lower nose. You may also benefit from a conservative dorsal hump reduction.  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

Hello and thank you for sharing your photographs. While they aren't the greatest quality I can see a few things which may be causing your frustration. All plastic surgeons should be taking photographs to point out inherent asymmetries in the face. Pointed out prior to surgery this is called education, pointed out after this is called an excuse. These asymmetries are notoriously difficult to correct as all of us have a "strong and weak side". Surgery can improve such things but rarely can absolute symmetry ever be truly achieved. That being said your left maxilla looks a bit underdeveloped causing the left nostil to sink more than the other. Perhaps a rhinoplasty could help but an in depth in-office consultation would be needed. 

All patients have some facial asymmetry.  This is normal. If you are unhappy with your nose, then a rhinoplasty may be the solution to improve its features.  Good luck.

From the limited photographs, it appears that there's an overly projecting nose with the dorsal hump along with an asymmetrical nasal chipn. In addition, there is a weak and recessive chin profile. Consider the combination of a rhinoplasty and a chin implant to help with significantly with facial balance and proportions. A closed rhinoplasty approach can accomplish shaving down the dorsal hump, decreasing the projection of the nose, and narrowing the nasal tip along with making it more symmetrical and less bulbous. Consider placement of a small chin implant  to augment the chin forward to help with the overly projecting nose. Chin implants are composed of silastic, and are manufactured in large variety of sizes and shapes. They can also be custom carved when needed to match patient's unique anatomy.  Rhinoplasty is a very difficult endeavor, so choose your specialist very wisely based on extensive experience.For more information  and many examples of this combination, please see the link and the video below

Your nose can be improved by removing your hump, narrowing and refining you asymmetrical tip, and lifting your hanging columella (the strip between your nostrils). A chin/jowl implant will improve jaw definition and improve proportions in your lower face while actually making your nose look smaller. I cannot comment on your other facial asymmetries because none of the pictures show both sides of your face so I can make a comparison.