What can be done to correct the appearance of my asymmetrical nose? (photos)

Question

Note that I also have an overjet and an crossbite. What surgery should I do

Semih Yildiz, MD, FEBOPRAS · Answer

The three photos show a visible nasal asymmetry, but photographs alone cannot determine whether the main issue is the septum, nasal bones, upper lateral cartilages, tip support, or the relationship of the nose to the jaws. An overjet and crossbite also suggest that the bite and underlying jaw position should be assessed rather than treating the nose in isolation.

I would start with an orthodontist and an oral and maxillofacial surgeon for a full bite and facial-skeletal evaluation, often including dental records and appropriate imaging. In parallel, see a board-certified facial plastic surgeon or rhinoplasty-focused ENT. If corrective jaw surgery is indicated, the jaw plan should generally be established before definitive rhinoplasty because moving the maxilla or mandible can change nasal width, base position, and profile. After the facial-skeletal plan is settled, a tailored septorhinoplasty might address a deviated septum, bony asymmetry, tip support, or alar/base proportions if those findings are confirmed.

Avoid choosing a specific operation from the photos alone. Bring standardized front, profile, and basal photographs plus any prior dental or surgical records. Seek earlier assessment if there is significant nasal obstruction, recurrent sinus problems, pain, or rapid change.

Eric M. Joseph, MD · Answer

Based on your photos, I do not appreciate any significant asymmetry in your nasal appearance. If you like, consider re-asking your questions with photographs that better demonstrate your concern. Thank you. Sincerely, Dr Joseph

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Cartilage grafts may also be used to help improve tip refinement. This can also be designed to improve nostril 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

Best wishes and good luck.

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

Mats Hagstrom, MD (license on probation) · Answer

Think of the human face as always being a symmetrical on all people.
The nose is the midline structure that connect the two cheeks together. 
Most people look at the notes in context to the surrounding areas.
If the surrounding areas are asymmetrical, then the nose doesn’t look even.
Your left cheek has more forward projection than the right side and this makes your nose look a symmetrical.
In reality, there is not that much a symmetry in the nose itself.
Because all people have facial asymmetry, the human brain does not see mild asymmetry as being anything other than normal.
You probably don’t think of your family or friends as having a facial a symmetry, even though all of them do.
Any attempt at treating a facial asymmetry, which is fundamentally based on skeletal structure It’s more likely to create a second asymmetry.
If you’re only concerned is asymmetry, then leave your nose alone.
Best,
Mats Hagstrom MD

What can be done to correct the appearance of my asymmetrical nose? (photos)

Answers (4)

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