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

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.