What is Wrong with my Nose? Crooked Nostrils, Costs? (photo)

It may be a simple issue with a straightforward solution. It appears that your nasal septum is off to your left and poking into the left nostril. If that is the case, merely removing a slice of cartilage would take care of the problem. Of course, there may be other issues which I could only diagnose with an actual exam.

         I would not advise attempted surgical correction for this degree of nostril asymmetry alone.  If there are other concerns in addition to this one, find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

Thank you for your pictures. It seems like either your septum or the bottom part of the tip cartilages (medial crura) is crooked (to the left).  In addition, the base of your nose is slightly wide; this looks even wider when you smile because the facial muscles pull on the nostrils.  The rest of your tip looks good from the base view, but other views are needed to assess completely.  A rhinoplasty can be performed to fix this, and the cost would vary depending on your location, how much work needs to be done, etc. Best of luck moving forward!

From the one provided view it looks as though the septum pushes slightly into the left airway creating asymmetry in the worms-eye view. I would not recommend correction if that is the only aesthetic problem.

Asymmetric nostrils and deviated septum are caused by both the tip cartilages as well as the septum being crooked. I need to see better photographs of the entire nose to determine exactly what would be necessary to repair the crookedness of both nostrils and or tip. The cost will be determined by exactly what things need to be repaired in order to end up with a straight nose.

The columella (the part that separates the two nostrils) is asymmetric in your case -- as it is with a significant number of people.  However, yours is minor compared to most who complain about it.  The thing to remember is that the base view you are showing us is usually in the shadow cast by the nose above and can only be seen by children and animals -- and neither of them could care less what the base of your nose looks like.  You will notice the asymmetry because you know exactly what to look for and you analyze it more than anyone else.  So I personally wouldn't worry about it too much.

Having said that, the easiest way to fix a crooked columella is to place and suture a straight cartilage strut, obtained from your nasal septum, in between the two pieces of cartilage that make up the support structure of the columella.  This can be done through either an open or closed approach.  

your nostrils are asymmetric because your lower cartilages are asymmetric.  in addition your foot plates are splayed.  your smile changes the shape bc muscles in your upper lip impart forces on your columella, ala, and tip when they contract. and i agree there is likely some septal deviation too

It looks like your septum is deviated off to your left causing the unevenness. The cost would depend on what the rest of the septum looks like.

A septoplasty would be the name of the surgery

 

It looks like your septum is displaced into the left airway at its base and this is why it looks a bit funny.

From your pictures it appears that the lower septum is deviated to your left causing an asymmetry of the nostrils. I cannot tell if this also causes your tip to be crooked. Also need to evaluate entire septum.  Septoplasty and perhaps other procedures will probably help.