What can I do to fix my asymmetrical nose tip? (photo)

Question

I really like my nose bridge and I think it is not too big, but it seems like one side on the tip is indented more than the other. I think this throws off the symmetry. What are common fixes for a nose like mine? Any help is greatly appreciated!

Kenneth Hughes, MD · Answer

I would recommend you leave your nose alone.  While you can place a cartilage graft to reduce the disparity, the disparity is very small and healing is not 100% predictable.	Kenneth Hughes, MD Los Angeles, CA

Jonathan Pontell, MD, FACS · Answer

Yes, you do have an indentation of your left alar crease.  This can be easily fixed with a cartilage graft to plump this area.

Colin Pero, MD, FACS · Answer

Everyone has cartilages that make up the tip of their nose.  They have little wings that extend towards the cheeks called lateral crura.  It looks like you have a bit of an asymmetry that may be improved with cartilage grafting to that area.  Be sure to consult with an experienced rhinoplasty surgeon as this can sometimes require more sophisticated techniques to correct.  Best of luck.

Morgan E. Norris, III, MD, FACS · Answer

Asymmetry of the tip and related structures is very common. Once the area is carefully analyzed, correction options can be discussed. Options range from injection with a dermal filler, the least expensive but not the longest lasting. Correction with Alloderm (a human skin implant material). Correction with a piece of your own cartilage taken from your septum. The last two options are more invasive and costly but the longest lasting. Good luck!

William Portuese, MD · Answer

Part of the tip cartilages on the concave side represent an inverted lower lateral cartilage of the nasal tip. A cartilage graft harvested from inside the nose can fill this area out and make it more symmetrical, just like the opposite side.

Geoffrey W. Tobias, MD, FACS · Answer

Your photos reveal congenital asymmetric alar rims. 
Deformities such as these are correctable through the placement of small cartilage grafts to reshape the arch of the nostrils from the inside

What can I do to fix my asymmetrical nose tip? (photo)

Answers (6)

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