Uneven nostrils after rhinoplasty - particularly when smiling Will a revision correct this? (photo)
Doctor Answers 2
Uneven Nostril after Rhinoplasty
Did you have any L-shaped implant or strut graft placed during your rhinoplasty surgery because it may be too long or it may be deviated.
It appears to me from your photos that the columella itself is the one that's deviated and is causing the asymmetry. Rectifying the columella should correct this problem before resorting to revise the right alar which may lead to external alar asymmetry instead.