Uneven Nostrils After Rhinoplasty (Photo)

I had an open septoplasty and rhinoplasty 8 days ago. As you can see from the photo, one of my nostrils is turned way upwards and is very visible from the front. My dr says this is because the nostril was drooping after surgery and he needed to add stitches inside the nostril to over-compensate, so when the stitches dissolve, it will fall into the correct spot. I know I need to wait for swelling to go down but I feel at this point the nostril will never fall into the correct spot. Thank you

Doctor Answers 5

Uneven nostril

It is to early to evaluate your result.  That being said I do agree there is significant nostril asymmetry.   As swelling settles over months things will change hopefully for the better.   In some situations nostril asymmetry does occur from primary rhinoplasty.    This often can be touched up with a secondary procedure if needed.   

Toronto Facial Plastic Surgeon
4.3 out of 5 stars 96 reviews

Alar Rim Graft


I would say that ultimately you will need an alar rim graft to correct this asymmetry. I dont think any stitching will suffice. You should wait 2 to 3 months before doing anything but I dont think anything will change.



Oleh Slupchynskyj, MD, FACS
New York Facial Plastic Surgeon
4.8 out of 5 stars 273 reviews

Asymmetric nostrils immediately after rhinoplasty

It is very early after surgery right now so it would be best to follow your surgeon's advice and wait for the nose to heal.

It's hard to say whether your nostrils will become more symmetric over time. Often as the swelling resolves there can be quite a bit of change, though.

Continue to follow up with your surgeon so that he can assess your progress.

Thomas A. Lamperti, MD
Seattle Facial Plastic Surgeon
4.9 out of 5 stars 21 reviews

Uneven nostrils after rhinoplasty

If the nostrils were symmetric before surgery, there is a good chance this asymmetry will resolve with time. Follow up with your surgeon so he can follow the progress of your rhinoplasty recovery.

Roy A. David, MD
San Diego Facial Plastic Surgeon
4.5 out of 5 stars 23 reviews

Uneven Nostrils After Rhinoplasty

It is too early to make a determination about the final result.

The nose can be swollen for up to a year or more. Swelling will depend upon the nature of maneuvers employed, presence of grafts or implants, thickness of skin, open vs closed, revision vs primary, etc.

Kenneth Hughes, MD

Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.