Is it possible to do refinement of asymmetrical tip cartilages endonasal? (photos)

Hello and thank you for your question. Based on your photographs, I would recommend an open approach to correct your tip asymmetry. The tip cartilage should be better aligned and then I would place a mastoid fascia tip graft to help correct the tip asymmetry. 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

Based on your limited photos, you appear to have very thin nasal skin which is one of the contributing factors to why you are seeing these subtle irregularities postoperatively. In that regard, another procedure may lead to a similar result. Depending on your examination, microdroplet Silikon-1000 injections may be considered for improving your nasal tip symmetry, and forachieving a desired result without extensive surgery. Thank you for your question. Sincerely, Dr Joseph