Nose Asymmetry After Rhinoplasty — Why Would This Happen?

One of the reasons people come in for a rhinoplasty procedure is to fix a crooked nose. However, what should you do if you end up with nose asymmetry after rhinoplasty? Is this normal — and if it is, why does it happen?

All these questions and more are answered in this post. Read below to understand why asymmetry happens after a nose job and what you should do about it.

Why does nose asymmetry after rhinoplasty happen?

Rhinoplasty involves using delicate surgical techniques to alter or repair the nasal structure to treat cosmetic or functional issues. Following the procedure, you can expect common side effects such as numbness, congestion, bruising, tenderness, and swelling during recovery — and part of post-op swelling is nasal asymmetry.

An asymmetrical nose tip after rhinoplasty is perfectly normal. Patients should expect and understand that swelling won’t be the same on each side of their nose, thus causing the asymmetry. Other factors such as scar tissue formation, taping, sutures, and splints can also cause uneven nostrils.

How long do asymmetrical nostrils after rhinoplasty last?

These side effects, including swelling and asymmetry, will fade over time as the initial recovery period ends at around two weeks. However, understand that the healing process varies from person to person, so the levels of subsiding swelling will differ. Your doctor will provide aftercare instructions to help minimize swelling and nasal asymmetry.

Should I be concerned if I have:

● Uneven nostrils 2 weeks after rhinoplasty?

Initial swelling is just subsiding at this point. Judging your results two weeks after the procedure is premature, so don’t worry about the asymmetry for now and focus on recovery.

● A crooked nose 3 weeks after rhinoplasty?

Patience is the name of the game. While you can see your initial results at three weeks, it generally takes a year for patients to see the most optimal rhinoplasty outcomes. It can take up to two years for your nose to fully recover. And when it heals completely, only then can you see your nostrils return to a more symmetrical look.

However, don’t hesitate to discuss your concerns with your doctor — they will be your best resource at this time to answer any questions you may have about your uneven nostrils.

The reality of facial and nasal symmetry: Setting your expectations

Crooked noses are common. Even a slight asymmetry after a nose job is normal because nose symmetry and even the perfect face is a myth — no one has completely identical features and details on both sides of their face. Therefore, this perfect facial balance is unattainable — and shouldn’t be your desired goal.

However, if your post-rhinoplasty asymmetry is something that’s obvious and makes you unhappy, it’s best to consult your doctor to discuss your desired results and the next step to take.