Concerned about asymmetry / uneven nostrils. Will I need a revision? (Photo)

Question

I got a primary rhinoplasty in late May. My main concern was how wide my nose looked. I knew my nostrils were asymmetrical and that my skin was thick. For the first three months, my nostrils were round; however, after four months, one of my nostrils started to change to a more triangle shape. My doctor says it is because of my asymmetrical face and skin reacting to the grafts. I feel insecure and upset. I also think that my tip is still lifted. Will things change, or will I need a revision?

Eric M. Joseph, MD · Answer

Based on your photos, we can see that your left nostril margin is a bit retracted compared to the right. Instead of undergoing more surgery, microdroplet Silikon-1000 injections may be considered to lower your left nostril for improved nostril symmetry. I hope this helps! Sincerely, Dr Joseph

Lexie Wang, MD · Answer

Based on the last picture that is circled, it loks like you are getting a little bit of alar retraction. Keep an eye on it; it may worsen or it may not. If it stays where it is now, I think most surgeons would not recommend revising it as it is quite small of a difference and not worth the risk. However, if it worsens, you could consider a revision depending on how bad it is. The rest of your nose looks quite good overall. The tip still has time to mold and change in terms of its angle so it is possible it will come down some.

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