Right nostril not symmetrical following Rhinoplasty (15 years post op), how can I fix it? (Photos)

Nostril Asymmetry
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

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty to help improve nostril symmetry. Maneuvers for your surgery would include repositioning the lower lateral cartilage, placement of extended alar contour grafts, among other maneuvers. 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