Do I need more than rhinoplasty to improve my facial asymmetry? (Photos)

Hello and thank you for your question. Based on your photographs, you may benefit from a tip refining rhinoplasty. Your surgeon can accomplish this by trimming, suturing, and reshaping the cartilage in your lower nose. Fascial grafts may also be used to help improve tip refinement. I don’t think other procedures would be needed. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

We all have to put things into context, naturally all faces (and bodies) are asymmetrical, sometimes quite assymmetrical, if we focus on our faces or others' ones we might become obsessed with this topic and raise unjustified self-steem issues. However, there are pathological orders of magnittud in asymmetry that are considered congenital disorders and, therefore, deserve surgical attention (if this is anything possible, which not always is).

Your nose may deserve a rhinoplasty, that's your judgement and decision always, however it does not show any abnormal asymmetry, so there is no point in suffering any complex about this.

Your forehead and eyebrows do who an un even level of location and this is indeed technically treatable and eventually might be a good choice for you, by means of a custmized forehead-eyebrows supraperiosteal lift (mini incisions at the temple area), in which the technique and planning is adapted aiming to improve your asymmetry.

See one case of mine very very similar to yours and its outcome at the link below.

You would benefit from a rhinoplasty to decrease the width of the nose. It appears the nasal columella angle needs to be improved.

Best Wishes,

Gary Horndeski, M.D.

Based on what I see, you appear to have a wide nasal appearance and a droopy tip with smiling. If these issues are bothering you for a long period of time, rhinoplasty surgery may be considered for achieving a narrower, less droopy, and less distracting nasal appearance. I hope this helps! Sincerely, Dr Joseph

Thank you for your excellent question. Basically, a rhinoplasty will not help with your facial asymmetry. A good rhinoplasty will make your nose smaller and more refined in appearance. To address the jaw asymmetry may involve something as simple as botox injections or some time bone removal. Please see a qualified facial plastic surgeon for an in person evaluation

yes a rhinoplasty would help your cosmetic appearance, The nose is wide especially when you smile. you have a pretty smile. We have a special 3 dimensional Vector imaging machine to help you see what result maybe achieved with a cosmetic reduction rhinoplasty.

Answer from Dr. Sean Hill, Board-Certified Plastic Surgeon at Lone Star Plastic Surgery in Frisco, TX:
Thank you for your thoughtful question and for sharing your photos — they really help in understanding your specific concerns.
Facial asymmetry is incredibly common (everyone has some!), but when it’s more noticeable in the nose — especially while smiling — it can draw attention to the center of the face. In your case, rhinoplasty can absolutely help improve symmetry and address flaring alae, creating better facial balance while respecting your ethnic identity and natural beauty.
For patients with flaring nostrils, especially in certain ethnic anatomies, we can use techniques like alar base reduction to gently narrow the nostrils without over-resecting, preserving both function and cultural aesthetics. If your asymmetry becomes more apparent with smiling, this could be due to underlying cartilage or muscle movement — both of which can often be addressed during surgery.
As someone of Indian descent, you may also have thicker skin or unique tip support, which I take into consideration during surgical planning. The goal is always to create a natural, harmonious result that blends beautifully with your features — never to erase what makes you uniquely you.
At Lone Star Plastic Surgery, I offer personalized rhinoplasty plans based on ethnicity, facial balance, and your goals. And when it comes to complex cases like asymmetry or ethnic rhinoplasty, it’s especially important to choose a surgeon who is board-certified and a member of The Rhinoplasty Society. This ensures they have the experience and specialized training to deliver safe, beautiful results.
Warmly,Dr. Sean HillBoard-Certified Plastic SurgeonLone Star Plastic Surgery – Frisco, TX

From your pictures, I would say your face is probably more symmetrical than most.
All people have facial asymmetry.
During embryological development, the two sides of the face develop independently from each other and eventually fuse in the midline.
Facial symmetry or asymmetry is primarily based on bone structure.
The human brain is accustomed to seeing the human face with asymmetry because all people have a facial asymmetry.
In fact, the entire body is asymmetrical.
The only way to see a symmetrical face is if it’s created with for example computer simulation.
Perfectly symmetrical faces have a strange and unfamiliar appearance because we’ve never seen them in real life.
In your case, I recommend you do not have surgery for the purpose of obtaining symmetry.
I don’t think you’ll get symmetry and it’s a poor reason to have surgical intervention unless the asymmetry is clearly obvious to everyone which in your case it is not.
This is my opinion and I’m sure there are other providers who will have different opinions.
Lots of plastic surgeons, believe that symmetry is an aesthetic ideal.
Lots of plastic surgeons, believe that symmetry is a aesthetic ideal.
I too used to believe this until it occurred to me that beauty has a little to do with symmetry.
Got any museum and look at beautiful things and you will notice that a few of them have symmetry.
If anything, most things of great natural beauty are asymmetrical.
Aesthetics has more to do with balance guide
Just my two cents.
Best,
Mats Hagstrom MD