Uneven nostrils six weeks after rhinoplasty

At six weeks after rhinoplasty, swelling typically begins to reduce, having peaked between weeks four and six. While some improvement in the overall shape of the nose may become more noticeable at this stage, residual swelling is still common - particularly around the tip and nostrils. If the nostrils appear uneven at this point, it is most likely due to this lingering swelling rather than a sign of permanent asymmetry. The nasal tissues remain sensitive during this stage of healing, and final results will continue to develop over the coming months.

Uneven nostrils three months after rhinoplasty

By three months after surgery, the majority of post-rhinoplasty swelling will have subsided, although subtle swelling may still be present and can continue to affect the appearance of the nostrils. At this stage, any ongoing nasal asymmetry may also be influenced by scar tissue forming beneath the skin, particularly around the incision sites. Scar tissue formation can create tension that alters the shape of the nostrils, which should have been anticipated and accounted for during the surgical planning. Additionally, cartilage - especially when reshaped or repositioned during surgery, may begin to shift slightly under the pressure of surrounding structures. This can contribute to changes in nostril symmetry as the healing process continues.

Uneven nostrils six months after rhinoplasty

At six months post-rhinoplasty, most swelling will have subsided, although some minimal swelling may still remain, particularly around the tip of the nose. If nostrils appear uneven at this stage, the cause is more likely related to the formation of scar tissue or minor shifts in cartilage as the nose continues to settle. These changes can subtly alter the nasal structure over time and may influence the final appearance. While some variation is normal, noticeable asymmetry at this stage may warrant a discussion with your surgeon to assess whether it falls within the expected range of healing.

Uneven nostrils one year after rhinoplasty

At one year post-rhinoplasty, the healing process is typically complete, and the final results of the procedure should be visible. By this stage, any scar tissue that developed will have softened, and if it contributed to nostril asymmetry, its impact should have stabilised. It is also possible that pre-existing asymmetry - which may not have been fully corrected during surgery - has become more noticeable as swelling subsided and the nose settled into its new shape. Subtle differences between the nostrils are not uncommon, even after a well-performed rhinoplasty, and may be a natural result of individual anatomy rather than surgical error.

How can uneven nostrils be fixed?

If you are experiencing nostril asymmetry following rhinoplasty, several corrective options may be available depending on the underlying cause. In cases where the imbalance is mild and largely cosmetic, non-surgical treatments such as dermal fillers - commonly referred to as liquid rhinoplasty - may help to create a more symmetrical appearance by subtly adjusting the contour of the nostrils.

However, if the asymmetry is more significant or related to deeper structural concerns, a surgical solution may be required. A revision surgery may be recommended by your original surgeon, or you may choose to seek a second opinion. If you decide to consult another professional for a secondary surgical procedure, it is essential to choose someone highly experienced in revision rhinoplasty procedures, as these are often more complex than the initial rhinoplasty. Always confirm that the surgeon is registered with the General Medical Council and has a proven track record in performing this type of corrective surgery.

Where nostril asymmetry is caused by issues such as a deviated septum or internal nasal structure, a septorhinoplasty may be necessary. This procedure can address both cosmetic concerns and functional breathing issues by addressing deviation of the nasal septum, providing a more comprehensive solution.

What are the signs of complications after rhinoplasty surgery?

A reputable, experienced surgeon will always undertake certain obligations before, during and after your nose job to protect your wellbeing and enable the best possible outcome of your surgery. If they fail to undertake these actions, you may experience complications after surgery.

These complications include:

• Ongoing swelling or delayed healing: although post-surgical swelling can continue for several months, persistent swelling beyond a year may point to complications in the healing process or unresolved internal issues.
• Breathing difficulties: if you are experiencing increased difficulty breathing through your nose after surgery, this could suggest a structural concern, such as a collapsed nasal valve or over-removal of cartilage that has compromised nasal function.
• Unexpected scarring: scarring is a typical part of recovery - particularly with open rhinoplasty - but scars that differ significantly from what was discussed during your consultation may reflect poor healing or issues with incision placement.
• Cosmetic irregularities: a nose that appears uneven, pinched or has noticeable bumps or indentations may suggest complications either during surgery or throughout the healing phase. These changes could indicate that the surgical technique did not fully address your aesthetic goals.
• Disappointment with the final result: if the appearance of your nose does not match what was outlined before surgery, or if it has caused emotional distress or lowered self-confidence, it may be appropriate to explore the possibility of revision rhinoplasty to fix uneven nostrils.