Can Rhinoplasty fix an asymmetrical nostril? (Photo)

Question

My whole face is completely asymmetrical, not one feature is the same so i’m looking to get work done in the future to help correct some of the asymmetries like making one side of my nose look like the other. Is this possible? How would it be done?

Ozge Ergun, MD · Answer

Thanks for the question. Yes, rhinoplasty can be used to correct an asymmetrical nostril. Asymmetry of the nostrils can be caused by a variety of factors, including genetics, injury, or a previous surgery. During a rhinoplasty procedure, the surgeon can make precise incisions and manipulate the underlying structures of the nose to improve the symmetry of the nostrils. Depending on the cause and extent of the asymmetry, the surgeon may use various techniques to achieve the desired results. Additionally, the final results of a rhinoplasty may take several months to fully develop as the swelling subsides and the tissues heal. It is important to choose a board-certified plastic surgeon with extensive experience in rhinoplasty and to have a thorough consultation to discuss your goals and expectations for the procedure.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question. As far as I can see from your photos you have a little asymmetrical nostrils and very flat nose bridge. With rhinoplasty your nose can be more symmetrical and have elegant curve. I highly recommend you rhinoplasty for this reasons. Please keep in mind that %100 symmetry is not achievable in any case. Best Regards!

Suleyman Tas, MD, FEBOPRAS · Answer

Dear Gregarious974838,
In my professional opinion, the nostril asymmetry is one of the most difficult deformities to be addressed in rhinoplasty field, because of soft tissue limitations. Consequently rhinoplasty surgery can help to improve the nostrils however, 100% symmetry is not achievable. I am attaching a link for before and after if you would like to look deeper into the procedure and what to expect. 
Regards, 
TAS TEAM

Mehmet Durmusoglu, MD · Answer

First of all, thanks for your question. You have a bump on the nose and asymmetric nostrils when I evaluate your photos. And you are a suitable candidate for the ultrasonic rhinoplasty technique. With enough experience, the nostrils can be corrected symmetrically. And rhinoplasty will help to reduce your facial asymmetry. Best regards

Celal Alioglu, MD · Answer

Hello you need make a straight your septum and solve breathing problems also correct the nostrils but after the surgery your nose will not be straight for 100 %

Steven M. Denenberg, MD · Answer

While it is possible to improve the symmetry of a nostril, it's not as predictable as, for example, lowering a bump on the bridge, so it's usually done at the same time as a more comprehensive rhinoplasty. So if you are considering surgery, look over your nose to see everything that you might want to change, and have those changes, including the nostril, as the goal. For example, lowering the bump on the bridge, elevating the tip a bit, bringing the tip and nose back closer to the face, narrowing the tip could all be done at the same time.
How *much* to elevate the tip, or deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

Jeffrey C. Hamm, MD - Account Suspended · Answer

Hi and welcome to our forum!
From your photos, I note facial asymmetry. Your nasal alar bases are at different "altitudes", and the higher nostril is associated with a deformity of nostril shape. You appear to demonstrate an amorphous bulbous nasal tip. In addition, your nasal bridge is strong and straight but is slightly high at its middle 1/3.
Complete symmetry will not be achieved (as there is a lack of tissue), but can be improved with a tip rhinoplasty to improve tip definition and lowering of the higher nostril sill. The nasal bridge can also be lowered if desired with a full rhinoplasty.
Visit a board certified plastic surgeon for evaluation and discussion.
Best wishes...

Can Rhinoplasty fix an asymmetrical nostril? (Photo)

Answers (7)

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