How Risky is Narrowing Nasal Bones in Revision Rhinoplasty?

Yes, you can perform osteotomies to narrow just one side of the nose. Typically, an osteotomy would need to be done laterally (where your nasal sidewall and cheek meet) and medially (where your right nasal bone meets the left on your bridge). You wouldn't have to affect the left side at all.

The best option to address your concern would be formulated with an in person exam. This would allow for a better assessment of the rest of your nose.

You should get improvement of this through right-sided only medial and lateral osteotomies. This is a quick (5 minute) procedure under IV sedation.

I read your concern and reviewed your photos. You appear to have a slight indentation in your mid-nose on your left. You could have restoration of nasal symmetry with a well-performed Injectable Filler procedure: this could add a slight amount of volume to your left mid-bridge and help improve your appearance. In my view, this is a better option than undergoing another nose job surgery. My personal preference is to use Silikon-1000, an off-label filler, for permanent results.

I hope this is helpful for you.

Regards from NJ: