Hello and thank you for your question. Nostril asymmetry is usually related to the underlying cartilage structure of the lower lateral cartilage. This can be improved with surgery. Make sure you specifically look at before and afterpictures of real patients who have had this surgery performed by your surgeonand not just a computer animation system. The most importantaspect is to find a surgeon you are comfortable with. I recommend that you seekconsultation with a qualified board-certified plastic surgeon who can evaluateyou in person.Best wishes and good luck.Richard G. Reish, M.D.Harvard-trained plastic surgeon
Typically the nose leans one way or another because of a deviated septum or deviated bones. The picture that you show makes it hard to assess without seeing the full face. Your doctor can evaluate you during the physical examination to determine the exact cause.