Is it too soon after surgery to be worried about uneven nostrils?

Kacee, I would encourage you to discuss your concerns with your surgeon - the current one and any future ones that might arise. The surgeon who performed the rhinoplasty knows precisely what was done and could easily explain to you what is going on with your right nostril rim. In some cases it could be elevated more on the one side due to unwanted scabbing around internal sutures.

If this were the case, the nostril rim should settle down with better wound care and simply time. There are other possible explanations but, again, your surgeon is the best resource at this time. The bottom line is that it is very premature to judge your results at one week out following rhinoplasty. Happy healing.

It’s not unusual for rhinoplasty patients to have asymmetry
in the immediate post-operative period. In the vast majority of patients, this asymmetry resolves with the
passage of time.Rarely,
structural phenomena may contribute to nasal asymmetry.Possible causes include slipped cartilage
grafts, distortion from internal and external splints, and sutures that have
caused distortion or have separated prematurely.Your
pictures suggest nostril asymmetry secondary to elevation of the right alar
rim.Without performing a physical
examination it’s impossible to determine the specific cause of this particular
problem.For this reason it’s important
to consult your plastic surgeon.Your surgeon
understands exactly what was done at the time of your procedure and can tell if
this is an expected or unexpected finding.Whether it requires intervention or should be left alone.Hopefully this consultation will address your
concerns and alleviate your anxiety.

In general, swelling after rhinoplasty takes months and months to fully resolve. You'll notice your nose is swollen at the moment and its shape will gradually improve as you progress in your recovery.

It is normal to have some asymmetry of the nasal tip and nostrils after rhinoplasty. Some may experience unevenness and asymmetric swelling from the procedure itself. The patient needs to know this pre-operatively. This is especially true in secondary rhinoplasty. This may take up to 12-15 months to correct itself. The key element is that it must be symmetrical intra operatively which only your surgeon can tell the patient as this is very reassuring.

Kacee
One week after open rhinoplasty is too early to judge your results. There is still significant swelling, scar tissue is forming, mucosal sutures can pull one alar rim higher than the other and the splints and taping can alter the shape. After 6 to 8 weeks you will have a better idea of any asymmetry and you should discuss that with your surgeon at that time.