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🟦 Nostril Asymmetry Correction Case: Background and Patient Goals


🟧 Patient’s Surgical History

Preoperative photos showing nostril asymmetry and drooping nasal tip: frontal view, left oblique side view, and left profile view.
Preoperative design consultation photos: Frontal view, left oblique side view, and left side view.
Original image ↗

  • 10 years ago: Hiko thread lift

  • 7 years ago: “Pearl nose” (silicone implant)

  • 6 years ago: Silicone removal

  • 1 year ago: Filler injection (not dissolved)


🟧 nitial Diagnosis – Focus on Nostril Asymmetry and Drooping Tip

Preoperative photos showing nostril asymmetry and drooping nasal tip: right side view, right oblique view, and nostril view.
Preoperative design consultation photos: Right side view, right oblique side view, and nostril view.
Original image ↗

  • Congenital nostril asymmetry

  • Sagging nasal tip

  • Residual silicone shifted to right

  • Undissolved filler remaining in soft tissue


🟧 Aesthetic Goals for Nostril Asymmetry Correction

  • Improve uneven nostrils (highest priority)

  • Lift drooping tip without looking artificial

  • Preserve natural appearance

  • Avoid using autologous rib cartilage


🟦 Surgical Plan for Nostril Asymmetry Correction and Tip Elevation


🟧 Structural Reconstruction Strategy

  • Septal extension using donated rib and patient’s own septal cartilage

  • Hybrid method to reduce warping/resorption risk

  • Removal of all residual filler and silicone

  • Adjustment of nasolabial angle for better profile harmony


🟧  Aesthetic Refinement and Nostril Shape Balance

  • Correct nostril asymmetry within congenital anatomical limits

  • Subtle lifting of the nasal tip

  • Maintain soft contours and overall facial harmony


🟦  Postoperative Results of Nostril Asymmetry Correction

Before and after frontal photos showing nostril asymmetry and drooping tip correction through revision rhinoplasty.
Before Surgery (Left) / Immediately After Surgery (Right)
Original image ↗

Frontal View – Natural Symmetry Achieved

  • Significantly improved nostril symmetry

  • Balanced nasal shape

  • Natural and familiar appearance preserved

Side profile before and after revision rhinoplasty showing correction of drooping tip and improvement in nasolabial angle.
Before Surgery (Left) / Immediately After Surgery (Right)
Original image ↗

Side View – Drooping Tip Lifted Naturally

  • Ideal nasolabial angle

  • Elevated but soft nasal tip projection

  • Smooth, rounded contour

45-degree angle view before and after revision rhinoplasty showing enhanced nasal symmetry and tip refinement.
Before Surgery (Left) / Immediately After Surgery (Right)
Original image ↗

Nostril View – Harmonized Asymmetry

  • Enhanced symmetry within anatomical limits

  • Stable, supportive nostril structure

  • No tension or distortion

Before and after nostril view of revision rhinoplasty, showing improved nostril symmetry and internal structural correction.
Before Surgery (Left) / Immediately After Surgery (Right)
Original image ↗

🟦 Expert Commentary: Strategies for Effective Nostril Asymmetry Correction

Postoperative frontal, lateral, and oblique views after revision rhinoplasty for nostril asymmetry and drooping tip correction.
Immediately after surgery: Frontal view, side view, and oblique side view photos.
Original image ↗
Immediate postoperative nostril view showing structural revision for asymmetry correction.
Immediately after surgery: Nostril view photos.
Original image ↗

This case demonstrates the complexity of correcting nostril asymmetry, especially when compounded by prior non-surgical procedures and congenital imbalance.


By combining donated rib cartilage with septal cartilage, we ensured a stable structure without using the patient’s own rib cartilage.


Careful tip projection and nasolabial angle adjustment allowed us to meet the patient’s desire for a natural look.


Even though full symmetry wasn’t anatomically possible, we achieved a visually pleasing, natural result that met both aesthetic and structural goals.


Thank you for reading.

This has been Dr. Cha-Young Kang from NOSELAB Clinic.

Important notice about individual results and potential complications following rhinoplasty, including infection, bleeding, asymmetry, allergic reactions, and scarring.
Case photograph 9
Original image ↗




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