One nostril bigger than the other and tip lopsided - can this be fixed with surgery? (Photos)

Hello!Thank you for your question.
As far as I can see from your photos Yes, surgery can address nostril size differences and a lopsided tip. Rhinoplasty can refine the nasal tip, adjust cartilage, and improve overall symmetry. While perfect symmetry is rarely possible, significant improvement in balance and proportion can usually be achieved by an experienced surgeon.
It would be better face to face consultation.
Best Regards!

You don't have a bad nose, could be better? indeed, in good hands any nose can be enhanced or even fully redesigned to fit custom preferences, but it happens all human beings are asymmetrical in face and body, do pay attention at the asymmetry of your eyebros (shape and level), eyes, philtrum, cheekbones, etc, no one face resists a detailed analysis.

Within this in mind and considering your nose is a nice one, best thing is to opt out surgery.

Thank you for sharing your photos. While a view looking directly into your nostrils would give the clearest picture of the asymmetry, from the angles you provided it does appear that your nose has a slight deviation (or “cant”) to one side, which can make one nostril look larger than the other. Straightening the septum can help improve this, and refining the nasal tip could also reduce the bulbous appearance you’ve noticed.

That said, it’s important to keep in mind that nostrils are never perfectly symmetrical, even after surgery. The goal would be to bring them into better balance and create a more refined overall shape.

I’d recommend consulting with a board-certified facial plastic surgeon who specializes in rhinoplasty, as these adjustments require both technical expertise and an artistic eye.

From the photos, your nose appears to be slightly deviated. Because the position of the columella and the nasal tip are not perfectly centered, the nose tilts slightly to one side, which also makes the nostrils appear asymmetrical.
Since we do not have a photo taken from below the nose, it is difficult to make a completely accurate assessment. However, if the center of the nose is properly aligned during surgery, the asymmetry of the nostrils can be improved. Please note that achieving perfectly identical nostrils is very difficult, and some minor asymmetry may remain.
Additionally, the rounded appearance of the nasal tip can be refined with a bulbous tip correction, which can create a slimmer and more balanced nose.

Based on your photos, I suspect that the asymmetry at the base of your nose is due to a deviated nasal septum. If you have no trouble breathing through your nose, depending on your examination, microdroplet Silikon 1000 nasal injections may be considered for improving upon your nostril margin, symmetry, without the inconvenience and expense of rhinoplasty surgery. I hope this is helpful! Sincerely, Dr. Joseph.

Your nostrils have some asymmetry which can be improved with alarplasty but nostrils can never be fully symmetric. The tip is bulbous and a tip-plasty will help define it. Both can be done under local anesthesia and recovery is quick.
Your bridge looks good. So, no cartilage, implants or grafts needed.
Regards
Dr. Janjua

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. Maneuvers for your surgery would include dorsal hump reduction, tip refinement, nasal tip deprojection, tip elevation, among other maneuvers. This can also be designed to help improve your nasal symmetry. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

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

Hello! Thank you for your question. What you’re describing—one nostril larger than the other and a slightly lopsided tip—is a common concern and can certainly be corrected with rhinoplasty. Over time, changes in the cartilage and soft tissue of the nose can lead to asymmetry, and even small differences in nostril size or tip position can become more noticeable.
The most effective approach would open rhinoplasty, which allows the surgeon to directly visualize the nasal framework. This enables precise tip refinement, adjustment of the lower lateral cartilages, and reshaping of the nostrils to improve symmetry. Techniques like tip suturing, cartilage repositioning, and various graft placement may be used to create a balanced, natural appearance.
While achieving perfect symmetry is challenging, the goal of surgery is to make the nostrils and tip as balanced and proportionate. The next step would be a consultation with an experienced plastic surgeon who is comfortable with rhinoplasty and management of alar asymmetry. They can assess your anatomy, discuss realistic expectations, and develop a tailored surgical plan to improve your nose’s appearance.
I hope that answers your question. Best of luck!
Justin Buro, M.D.