Uneven nostrils and tip with too much nostril showing. What can I do to fix this? (Photos)

Question

I had rhinoplasty over 15 years ago and since then my nose had gone through changes I'm unhappy about. My nostrils are too high showing scars, and my nose is now asymmetrical and a little crooked looking from the front. I would like the inside of my nose to show less, the tips of my nostrils to look less pointy from the front, and my nose to look symmetrical from the front. What kind of revision is needed that can achieve my desired results?

Alejandro Nogueira, MD · Answer

Your nose shows a series of issues making you candidate for major revision:
-short nose, short septum: needs nasal and septal lengthening by means of caudal extension grafts, columellar grafts, alar batten grafts, etc
-severely retracted alar rims, specially the left one, also to be treated with grafting or even full restoration / rebuild of the lateral cruras
-tip poorly supporte, to be reinforced with strut grafts
-other issues at dorsum need also attention
A high difficulty revision, 7-8 out of a 10 scale, surgical time 4-5 hours; do research a lot about surgeon real experience and potential to manage your case.
If you wish better grounded opinion well lit, focused and standard images have to be assessed: frontal, both lateral and both oblique views, also underneath the nostrils.
Feel free to request any additional information from me.

Eric M. Joseph, MD · Answer

Based on your photos, you appear to have thin skin. On front view, you have excessive nostril show on both sides with your left nostril being higher than you're right. Microdroplet Silicon-1000 may be considered for permanent improvement of nostril margin symmetry, depending on your examination. Hope this helps! Dr. Joseph.

Bahman Guyuron, MD · Answer

The nostrils size and shape is controlled by several elements the most important of which is a cartilage in each side of the nose tip that is called the lower lateral cartilage. This cartilage on your nose is higher on the left side which is creating larger and more lifted nostril on this side and also making your tip wider. All of this can be corrected. You may consider consulting an experienced revision rhinoplasty surgeon.
Good Luck.

Richard W. Fleming, MD (retired) · Answer

The asymmetrical tip can be improved by changing the size and contour of the tip cartilages. Your short nose can be lengthened, typically with septal extension grafts. Your goals are reasonable; consult with an experienced revision rhinoplasty specialist.

Uneven nostrils and tip with too much nostril showing. What can I do to fix this? (Photos)

Answers (4)

Answer: Short Nose and Asymmetrical Tip

Answer: Short Nose and Asymmetrical Tip

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Everything you need to know about Revision Rhinoplasty

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Uneven nostrils and tip with too much nostril showing. What can I do to fix this? (Photos)

Answers (4)

Answer: Short Nose and Asymmetrical Tip

Answer: Short Nose and Asymmetrical Tip

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.