Straight Nose on an Asymmetrical Face?

The situation you describe is not uncommon. There have been numerous publications of late showing an association between facial asymmetry and nasal deviation.

Depending on the amount of facial asymmetry, the nose may or may not be fully corrected: it has to start between your eyes and end at the midpont of your upper lip.

That beting said, the amount of deviation correction can be quite robust. I developed the Foundation Rhinoplasty to address situations such as yours. A critical factor is to make sure your surgeon knows extended septoplasty techniques. Without them, the chance of persistent deviations is quite high.

All the best

You have asked a great question, since the topic of symmetry comes up all the time.

My general answer is if God and or 5 billion years of evolution cannot produce perfect symmetry in our face and bodies, a patient should not expect perfect symmetry with 3-4 hours of surgery!

I am glad you have noticed the asymmetry in your face because it will affect your nose, if one side of your face is flatter than the other side, it will affect your final result.

Having said that, I have performed many rhinoplasties, and as long as the patient has realistic expectations, you will pleased with the result.  My only advise is to choose a board certified plastic surgeon or ENT surgeon with an interest in COSMETIC rhinoplasty, and look at before and after photos to see if you like the "style" of the surgeon.

Best of luck.