Can my asymmetrical nostrils be corrected 10 years after rhinoplasty? (photos)

Hello, There are different causes for nostril asymmetry and some are not correctable. In your case, it appears this is related to the tip leaning toward your left. In the bottom up view, imagine it like a tent with the columella in the middle being the central pole, and the ala (nostrils) being the side walls. If the central pole shifts toward on side, it will make one tent wall long and stretched, while the over shortens .... this shortening is also contributing to it being slightly more arched on that left side (front view). Try pushing the tip (with your finger) to the right. If this improves the symmetry, then you would be able to improve it by correcting the tip deviation with a revision rhinoplasty. The best overall advice with any rhinoplasty, revision or primary, is make sure you consult with a true rhinoplasty surgeon. Hope that helps. Good luck!

It is almost impossible to achieve nostril symmetry. Any attempts can lead to taking too much off one side and then going back to take some more from the other side. As this goes on permanent scarring with poor healing can lead to worst asymmetry than before the surgery was done.
Also, it is very important to remember that nobody will look at your nostrils from below. From the front view the nostrils don't look as asymmetric as from below. Unless the asymmetry is really obvious and disfiguring, it should be left alone.

Regards
Dr. J

Alarplasty is a surgical procedure that specifically addresses concerns related to the size or shape of the nostrils. It involves reshaping the alar (nostril) base to achieve a desired aesthetic result. Based on your pictures, it looks like you would be a great candidate.

Best of luck !