Had a Surgically Assisted Rapid Palatal Expansion, Changed Nose, Widened One Side, Smile Also Asymmetrical? (photo)

You have a couple of options.  You could either try to correct the problem transorally through the original surgical site and free tissues and place a permanent cinch suture or do a rhinoplasty and address the asymmetry of the alar base.  Both of these may be required.  Donald R. Nunn MD DDS  Atlanta Plastic Surgeon.

Even though "Asymmetry" is a normal human condition, excessive right and left differences can be improved with Open Rhinoplasty if your condition is stable.  A thorough consultation complete with standardized photos and cehpalometric studies should be entertained.