Rhinoplasty to Fix Only One Side of the Nose?

I have decided to have a rhinoplasty. I don't hate my nose, but my deviated tip and my right profile bother me. I have strong cartilage but very thin skin, therefore I have noticed that the cartilage from the right side of my nose tip is larger than the left one. Consequently my tip looks deviated to the right. On the other hand I have a small bump on the left side of my bridge that bizarrely can just be seen from my 3/4 right profile.

Can the right side be fixed without changing the left one? I appreciate very much the way you are sharing your knowledge. Thanks!

Doctor Answers 16

Asymmetry is a natural occurance

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Your photos reveal a nicely proportionate nose for your face. Yes, you do have some slight asymmetry from one side to the other. No one is perfectly symmetrical, but the lack of symmetry does not usually detract from a harmonious face. Your problem is most likely due to a curvature of your septum and possibly asymmetric upper and lower cartilages of the nose giving a different "look" from one side to the other. Be careful in what you wish for.

I always suggest looking at newscasters to identify asymmetry. Most are attractive, but with careful attention, they all show asymmetries inherent in all people. Look at Brian Williams on NBC Nightly news. He's a handsome man, but his nose tilts to his right (left when looking at him).

Sometimes less is better than more. At most, as slight shaving of your hump and modification of your septum may be all that is needed.

Oak Brook Plastic Surgeon

Rhinoplasty for Minor Change

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It is really impossible to perform rhinoplasty on one side of the nose. The nose is a whole unit and needs to be treated as such. The changes that are done is a change of the whole nose and you need to be ready for that. It does not mean that you will have a dramatic change if you dont want one, but the whole nose will be operated on.

Hope that helps.

Farbod Esmailian, MD
Orange County Plastic Surgeon
5.0 out of 5 stars 88 reviews

One Sided Rhinoplasty Ends Up as Full Rhinoplasty

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Although the problem with a nose might be only on one side it usually involves balancing the whole nose. A change in one area leads to a change in other area. In a few very select cases a small sliver of the bump can be removed without a lot of other work. However, thats not the norm.



Tanveer Janjua, MD
Bedminster Facial Plastic Surgeon
5.0 out of 5 stars 126 reviews

Fixing asymmetry of the nose

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You do indeed have a nasal asymmetry. Much of it appears to be due to a deviation of the nose. This causes the nose to appear different from each side of the face.

An experienced plastic surgeon can go over exactly what bothers you, and what is realistic to achieve.

It is certainly possible to achieve a more sculpted look.

The differences will by nature be subtle because you already have a pretty face.

Brent Moelleken, MD
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 194 reviews

Rhinoplasty to fix only one side of nose

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Yes, asymmetries of the nose are frequently addressed through typical rhinoplasty techniques. The bump only located on one side can be simply filed down. Cartilage grafts can be placed on the opposite side to match the high side of the nose. Dome suturing techniques can make the cartilages of the tip much more symmetrical when needed. It really depends on the preexisting conditions and the skill of the surgeon. Look for a surgeon who has performed thousands of rhinoplasties and is very well versed in addressing specific problems such as this.

William Portuese, MD
Seattle Facial Plastic Surgeon
4.8 out of 5 stars 158 reviews

Fixing one side of the nose

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Whether you have asymmetry or deviation, this can be improved with rhinoplasty. With asymmetries, especially in tip revisions, it is occasionally possible to change only one side. I love operating on patients with thin skin; the subtle changes are always seen and appreciated. You have a nose that is proportional to the rest of your defined facial features and therefore you need careful refinement.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Rhinoplasty on one side of the nose

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Sometimes subtle changes to one side of the nose can be corrected with a rhinoplasty. In your case, it is difficult to tell from your photos alone whether or not that would be the case. You may have a deviated septum, and that can only be seen by a physical exam. I would recommend having a consult with a Plastic Surgeon where you can be examined in person, and your septum can be evaluated. I would also request computer imaging of what he/she proposes to do and how that would change the look of your nose. Good luck!

Amy T. Bandy, DO, FACS
Newport Beach Plastic Surgeon
4.9 out of 5 stars 109 reviews

Rhinoplasty to fix one side of the nose

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We all have asymmetry in our body. The nose is no exception. It is impossible to perform a rhinoplasty on only one side of the nose. Certainly, adjustments can be made to each side to balance the two.

Steven Wallach, MD
New York Plastic Surgeon
4.2 out of 5 stars 30 reviews

Rhinoplasty to fix only one side of the nose?

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Hi Anna Paula in Vienna (lucky you),

It appears that you are a quite lovely lady whose nose fits her face very well. It does not distract attention away from your beautiful eyes, cheeks, and mouth. Therefore your (revision?) rhinoplasty should be extremely subtle, and performed with precision (not that all rhinoplasty shouldn't be performed with precision).

It is difficult to appreciate the deviation of your tip without a true frontal view. If your lower lateral nasal cartilages are asymmetrical, they can be evened, possibly by only operating on your right side. So yes, your right side can be fixed without changing your left side. But what about that "bump" that you can only see from left 3/4's view? Depending upon your exam, only the left bump could be rasped down without changing the right side.

Thanks for your question and photos.

Please send a stright frontal view and let us know if you have had a primary rhinoplasty in the past.

Be well and a healthy 2010. (Hello to Vienna from me)

Dr. P

Michael A. Persky, MD
Encino Facial Plastic Surgeon
4.8 out of 5 stars 39 reviews

Rhinoplasty (nose job) options

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Even if one side of the nose is corrected, surgery is essentially performed in the same manner as a two sided correction. Are you planning on leaving the left bridge alone? Surgical improvement is possible and I would meet with qaulified surgeons to discuss your options.

Otto Joseph Placik, MD
Chicago Plastic Surgeon
4.9 out of 5 stars 86 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.