My nose seems to pull slightly off centre. Can my asymmetric nose be fixed? (Photos)

Hello and thank you for your question. Based on your photographs, you are a great candidate for rhinoplasty. There are many techniques that can be used to straighten your nose, including nasal tip deprojection to bring it more centrally. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

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

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:
Thank you for sharing your photos — they help provide a clearer understanding of your concerns.
An asymmetric nose can be caused by a variety of factors, including a deviated nasal septum, crooked nasal bones, cartilage irregularities, or previous trauma. Sometimes, asymmetry involves just the bridge or tip, while in other cases, the entire nasal structure may be shifted off-center.
Rhinoplasty can effectively address asymmetry, but it requires a careful, tailored approach. Depending on your unique anatomy, correction may involve: • Septoplasty to straighten the internal structure and improve breathing • Osteotomies (controlled bone repositioning) to realign the nasal bridge • Cartilage reshaping or grafting to correct asymmetries in the tip or nostrils • Soft tissue balancing for improved symmetry and contour
In many cases, it’s not about creating a perfectly symmetrical nose — because no face is perfectly symmetrical — but rather achieving a balanced, natural result that enhances your overall facial harmony.
At Lone Star Plastic Surgery, I use a combination of surgical techniques to create subtle, precise adjustments that respect your features while improving proportion and alignment.
Because nasal asymmetry is one of the more complex challenges in rhinoplasty, it’s essential to work with a surgeon who has specialized expertise in nasal surgery. I highly recommend choosing someone who is board-certified and a member of The Rhinoplasty Society, ensuring a high level of training and experience in these nuanced procedures.
Warmly,Dr. Sean HillBoard-Certified Plastic SurgeonLone Star Plastic Surgery – Frisco, TX