Alar asymmetry-reducing alar wall thickness (Photo)

Hello and thank you for your question. Based on your photographs, you may benefit from a revision with tip refinement, alar contour grafts, and an internal sill excision. This could improve your nostril symmetry. Alarplasty alone would likely not fix this. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified plastic surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon