6 months post op, concerned about asymmetry / uneven nostrils. Will this subside or should I consider a revision? (photos)

Hello! Thank you for your question. As far as I can see from your photo It is normal to have uneven swelling. You have thick skin and you need to be patient about the healing process. Your total recovery might take 1,5 years. It would be more convenient to decide with face-to-face consultation. Best Regards!

Hi @Flook143! I would recommend waiting a year before considering a revision rhinoplasty since the nose is still changing. If you are still unhappy after the 1 year mark, I would then consider a revision. Best of luck to you!

Thank you for your question and photos. Since the nose can continue to shift for a year or more following rhinoplasty surgery, it is best to wait until that time to review the final results. If you’re still unsatisfied with your nose’s appearance at that time, a revision can improve symmetry and address any cosmetic concerns you may have. Keep in mind that each subsequent nose surgery becomes more complex due to the loss of structural support and scar tissue. The importance of experience, expertise, and artistry cannot be overstated. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon, with expertise in rhinoplasty techniques. They will be able to review your surgical history and discuss your concerns with you to determine the best approach.

Dear Flook143,
Thankyou for providing pictures for a better recommendation. To access the final results please be patient for one year. After one year, if you still have the same concerns you may look into revision rhinoplasty options. 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

You should Talk to your doctor again and clearly communicate your problems. If your questions continue until the end of the first year, it will be normal to consider a new surgery.

This unevenness on the nostrils is something you need to discuss with your surgeon, although at six months the results can still change – however it is important to know that some of these changes can be permanent.

My own advice would be to wait a full year before considering a revision.

Hello! Thanks for your questions. I see what you're referring to. It does take time for swelling and the final results to occur after rhinoplasty - more toward 12 months. Things like taping and compressions can help for any asymmetries to a degree in the meantime. After time elapses and you still aren't satisfied with the outcome, then a revision would be warranted. The front view is more challenging to perfect but improvements can be made. It is normal to worry about your outcome but try to trust the process and re-evaluate as the time comes. Hope this helps.

Based on your photo, your right nostril margin appears retracted, or higher, compared to your left side. This may improve somewhat as your swelling continues to resolve. If it remains asymmetrical, microdroplet Silikon-1000 may be considered for improving your nostril symmetry. Hope this helps. Dr Joseph

Dear Flook143,
I understand your concern. However, without a proper assessment, it would be difficult to determine what went wrong. It is best that you visit your plastic surgeon for further assessment or ask for a second opinion. Only after a thorough examination, you can get proper recommendations and advice.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Hello. Your skin does not look very thick in the photo. This crookedness and asymmetry will not recover over time. Because this is not an swelling. Swelling heals over time, but the nose does not shape over time. If you do not want to live with such a nose, I can say that your only solution is revision. Please check our Instagram account and RealSelf photos. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile. You can also book an online consultation and discuss your problems with me. With all respect.