Nostrils asymmetry, frontal artificial view (Photo)

Question

Dear Doctors, last year my Crooked nose had rhino. Now I'm left with overscooped bridge + high nose-Tip. Also before surgery had symmetric nostrils. Now left-Nostril (alar base) alone was shortened, made front-view asymmetric and left-Profile very thin. (anything except reducing right Nostril?) *Front view look artificial. All I see is Holes. Does bringing tip down alone could bring my previous front-view back?or need to widen that whole wings+tip area to achieve previous natural frontview?

Eric M. Joseph, MD · Answer

Revision rhinoplasty may be an option, however, that is a difficult undertaking that would involve a dorsal implant. Depending on your examination, microdroplets Silikon 1000 injections may be considered for permanently raising your nasal bridge for a straight and masculine nasal profile appearance. It may also be helpful for lowering your nostrils on front view, and for improving upon your right nostril symmetry. I hope this helps, and thank you for your question. Sincerely, Dr. Joseph

Tanveer Janjua, MD · Answer

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

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision rhinoplasty to derotate the tip and improve your nostril symmetry. Placement of extended spreader grafts with release scar tissue will help accomplish this. 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

Best wishes and good luck.

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

Pawel Szychta, MD, PhD, DSc · Answer

Lowering your nasal tip alone might improve your profile, but to restore your natural front view, you may also need to widen the alar base and adjust the nasal wings. Addressing both the tip and the width can help achieve better symmetry and a more natural appearance. Consulting with a qualified surgeon experienced in revision rhinoplasty can provide you with personalized options.

Nostrils asymmetry, frontal artificial view (Photo)

Answers (4)

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