Uneven Nostrils with Closed Rhinoplasty? (photo)
5 weeks Post Op; What are the chances that what i am seeing is my septum shifting back? and if so, is it possible it can be worse than pre op? how easy is it is to get this corrected?
Doctor Answers 13
Alar base asymmetry following rhinoplasty.
Asymmetry of the nostrils and nasal base is possible following both an open and a closed approach to rhinoplasty. The most common cause of this is a pre-existing asymmetry that can be accentuated by surgery. The postop photo you have provided suggests nostril base asymmetry. The preop photo, however, is slightly rotated and you are smiling making an apple-to-apple comparison difficult. Hopefully, your surgeon has a standardized frontal view which can serve as a baseline for comparison once all the swelling has subsided. At that time a revision procedure can be undertaken if you desire.
Mario J. Imola, MD, DDS, FRCSC.
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Most of the posters responses have been either prep asymmetry or swelling. So best to wait it out for 6 months before deciding if you have a real issue that needs further surgery.
Uneven Nostrils with Closed Rhinoplasty?
I really suspect that the nostril size was uneven before the Rhinoplasty but in the pre-op picture the tip is under rotated and as such, you just don't notice it. I think you have a nice result but as always feel free to ask your Rhinoplasty Surgeon about any issues you may have with your nose during the post Rhinoplasty healing phase.
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Time & Rhinoplasty
The recommendation of using "time" and appropriate follow-ups are good ideas. Three & one half weeks from surgery is just the beginning.
Rhinoplasty and nasal asymmetry
Hello and thank you for the question.
Nasal alar asymmetry is definitely a possibility following rhinoplasty surgery. While I can appreciate the asymmetry of your nostrils in the post-procedural photo, the pre-procedural photo is not very revealing at the angle is not optimal. Having said that, you are quite early from a surgical standpoint in your healing process. My recommendation would be to give your nose ample time to heal and follow-up with your plastic surgeon.
Glenn Vallecillos, M.D., F.A.C.S.
Asymmetrical Nostrils Post Closed Rhinoplasty
Your nostril margins do look asymmetrical but this may be secondary to swelling just 3.5 weeks after your rhinoplasty. The nostrils can be affected if the lower lateral (tip) cartilages are changed regardless of whether a closed or open approach is used. At this time all you can do is be patient as swelling resolves.
Revision rhinoplasty works.
Your left nostril does look lower and larger, but it has been less than a month since surgery. This may look a lot better in six months. So be optimistic. You can always have a revision later.
Swelling after a rhinoplasty...
Despite having a closed rhinoplasty, tip swelling can still be a problem. On the other hand tip asymmetry could also be a result of a lower laterals. My best advice would be to see your surgeon.
Asymmetry of nose
Being that you are only a few weeks out from surgery, there may very well be asymmetric swelling. Give it some time to settle down. Goodl uck.
Your nostril asymmetry 3.5 weeks after Rhinoplasty Surgery may be due to swelling.
I read your concerns and reviewed your photos:
Your right nostril margin appears a bit higher than your left. Since you're less than 1 month post-op, you should not panic and observe this for the next several months. If this does not improve on its own, you may be a candidate for a Non-Surgical Rhinoplasty treatment to lower your right nostril. My experience with nostril lowering without surgery is with Silikon-1000, an off-label filler for permanent results.