Nostril asymmetry and scar? (Photo)

Question

My nose looks asymmetrical from the front view. my nostrils were reduced too much (they used to be rounder), the left one doesn't look natural. And, the dorsum on the right side appears depressed. My columella is inclined, and I have an indented scar on the columella and the green area is depressed. Is there something to do?, specially with the Asymmetric nasal wing and the scar? I'd not like to undergo another open rhinoplasty but correct these defects in the least invasive ways

Richard G. Reish, MD, FACS · Answer

Hello and thank you for your question. Based on your photographs, you may benefit from a revision with an alar contour graft and soft triangle graft to help improve nostril symmetry. I recommend that you seek consultation with a qualified board-certified plastic 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

Tanveer Janjua, MD · Answer

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

Eric M. Joseph, MD · Answer

Based on your photos, I can see that you have slight retraction of your left nostril margin compared to your right. Depending on your examination, microdroplet Silikon-1000 maybe considered for lowering your left nostril margin to improve upon symmetry. Depending upon your examination, the callumella scar may also be softened with a bit of silikon as well. I hope this helps! Sincerely, Dr Joseph

Nostril asymmetry and scar? (Photo)

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