Why is one side of my nose so different and what can i do to fix it? (photos)

First, every one has asymmetry in their face and their nose is no exception. The photos do not demonstrate the issues very well.

  A full set of photographs of the entire nose and face are required before making a determination about what may or may not be needed. To straighten a crooked nose  requires a rhinoplasty procedure. Cartilage grafting techniques are used to fix asymmetries. Releasing the depressor septi ligament will help  prevent the tip from drooping when smiling. For more information and many examples, please see the link and video below

There are very good
rhinoplasty techniques available, however, all of them have their limitations
as to what they can achieve in a given patient, based upon inherent limitations
of surgery as well as anatomic limitations set by patient anatomy. Changes with facial movement (e.g. smiling) are inherently more difficult to predictably correct. I would
suggest a formal consultation with a board-certified plastic surgeon so your
specific concerns can be gone over in detail, a physical exam be performed, and
individualized recommendations be made. Good luck!

I am sorry that you are having issues about your procedure and
thanks for sharing your question. I can appreciate your
concern.

the differences may be related to the connection of a little muscle with your lip. Size differences will depend on the differences from baseline and resections that may have done during your procedure. From your pictures is difficult to pinpoint a specific issue and physical exam is granted.A solution is to give botox to paralyze the muscle that is giving you the undesired effect. At the end, surgery can be done once you are 6 months to a year after your original surgery.

Finally, make sure that your doctor is
aware of your process. He should be able to guide you best in your care.

Wishing you the best in your journey

Dear Torontonian3,

Thank you for your clinical post and
photographs.

The nose is a complex anatomical
structure composed of a bony pyramid at the top, some supportive cartilaginous
structures called the upper lateral cartilages in the middle and then some
curved cartilage structures that give definition to the nasal tip, the dome and
the nostril ala. There can be
asymmetries between one side of the cartilaginous nasal tip and the other and
different support structures and during animation there can be deformation of
one lower lateral cartilage and not the other.
This often leads to nostril dome and ala asymmetry. There are many support structures that
prevent plunging of the nasal tip, splaying of the nostrils and visibility of
the nasal passage. It is common for one
side of you to be more attractive than another.
All these are common to nasofacial patients seeking improvement. The improvements following rhinoplasty can be
extremely subtle or quite dramatic depending on the patient and the aesthetic
goals.

I would advise seeking the
consultation of a plastic surgeon or facial plastic surgeon with years of
experience and access to a computer imaging system to show you the kinds of
outcomes that be achieved with rhinoplasty surgery. The rhinoplasty you’re seeking would be more
focused on nasal tip refinement and simply balancing the bridge to match that
new tip.

I was fortunate to train in both
plastic surgery and ear, nose, throat, head and neck oncology and have been
performing rhinoplasty for over 20 years.

I’m sure you’ll end up with an
excellent result and best of luck. To find out more, please visit the
link below.

To schedule a consultation simply
fill out the online appointment form or call the number on the website content
page and a client service representative will be with you shortly.

R. Stephen Mulholland, M.D.

Certified Plastic Surgeon

Yorkville, Toronto