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.