Uneven Nostrils and Leaning Nose After Rhinoplasty?

I am almost 5 months post-op and my nostrils are still uneven and do not seem to be evening out. I am unhappy with it and am wondering what could have caused this and what are the chances it will even up?

Doctor Answers 6

You do not appear to have significant nostril asymmetry after your Rhinoplasty Surgery.

I read your concern and reviewed the photos you posted. Your photos do not appear to demonstrate significant nostril asymmetry, and your nose does not appear to lean off center. You should address your concerns with your surgeon or consider getting a second opinion from a certified, reputable rhinoplasty specialist near you. You can check abfprs.org to find a list of local certified facial plastic surgeons.

I hope this is helpful for you.

Regards from NJ.

West Orange Facial Plastic Surgeon
4.9 out of 5 stars 421 reviews


It's not uncommon to have some asymmetry in this area especially if it was there before. You are looking good though and should wait for more healing to occur. 

Michael L. Schwartz, MD
West Palm Beach Facial Plastic Surgeon
4.8 out of 5 stars 12 reviews

Uneven nostrils after Rhinoplasty

For the nostrils to change from their pre Rhinoplasty shape, the tip cartilages that directly dictate the nostril shape had to be modified. This is something that you will need to ask your surgeon as he/she is the only one that knows what was done during your Rhinoplasty. IMHO at 5 months, your right nostril is unlikely to rotate upwards so that it matches the left.

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon
4.6 out of 5 stars 25 reviews

Uneven nostrils are a tough problem

Unfortunately, nostril asymmetry is a known risk of rhinoplasty.  Your nostrils are a bit asymmetric but it's pretty minor in my opinion.  Have you discussed this with your surgeon?  Depending on what techniques were used, there may be some improvement possible with a minor revision.  Prior to that, there may be some improvement available via stenting the smaller nostril open at night or by performing exercises to stretch the nostril in certain ways.  It's tough to tell without examining you if that is a good option.  Good luck.

Colin Pero, MD
Dallas Facial Plastic Surgeon
4.6 out of 5 stars 14 reviews

Nostril assymerty after rhinoplasty

I can notice the assymetry because you mentioned it, but over all, the nostrils are not significatly different. I suggest you wait a full year before doing any procedure.

Maurice M. Khosh, MD
New York Facial Plastic Surgeon
5.0 out of 5 stars 18 reviews

Uneven Nostrils after Rhinoplasty

Looking at the base of your nose, I suspect that your nostrils were uneven before your rhinoplasty. If not your surgeon, who knows what was done during your operation, can best answer your question at this time. Wait another 6-8 months to see fi this does improve before considering a revision.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 39 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.