Nostril Asymmetry: Why It Happens and How It Can Be Corrected
- mrtimbiggs4
- 4 days ago
- 3 min read
Many patients notice that their nostrils are not perfectly symmetrical. In fact, subtle nostril asymmetry is extremely common, most people have it. But when the difference is more significant, it can affect both appearance and breathing, and patients often seek specialist advice on whether it can be corrected.
As a Consultant ENT & Rhinology Surgeon based in Hampshire, I see many patients with nostril asymmetry during rhinoplasty and septorhinoplasty consultations. The important point is that nostril shape is influenced by several structural factors, and correcting it safely and naturally requires a precise, tailored approach.
What Causes Nostril Asymmetry?
Nostril asymmetry can arise from one or more anatomical variations:
1️⃣ Septal Deviation
A twisted or off-centre septum can push one nostril downwards or inwards, making it appear smaller.
2️⃣ Asymmetry of the Alar Cartilages
The lower lateral cartilages that form the nostril rim may be different in shape, size or strength from side to side.
3️⃣ Previous Injury
Nasal fractures or childhood trauma can lead to long-term asymmetry in the nostril size and base.
4️⃣ Weak or Collapsing Nasal Valve
Valve collapse can alter the nostril outline and make one side appear narrower, especially during breathing.
5️⃣ Variations in Soft Tissue or Skin Thickness
Some differences are related to natural variation in the alar soft tissue, which can affect how the nostril appears in photos.
6️⃣ Previous Surgery
Over-resection, insufficient support, or warping of cartilage after rhinoplasty can result in nostril shape imbalance.
Understanding the cause is essential, because effective treatment relies on correcting the underlying structure rather than simply reshaping the nostril rim.
Can Nostril Asymmetry Be Corrected?
Yes, in many cases, nostril asymmetry can be significantly improved through functional rhinoplasty or septorhinoplasty.
Techniques may include:
✔️ Reinforcing or reshaping the alar cartilages
This helps support the nostril rim, improving symmetry and preventing collapse.
✔️ Correcting septal deviation
Straightening the septum can equalise the nostril position and improve airflow.
✔️ Base adjustments or alar repositioning
Subtle changes to the nasal base can help balance the size and flare of each nostril.
✔️ Grafting for definition or support
Cartilage grafts (including rim grafts or strut grafts) can enhance strength and improve contour on the weaker side.
✔️ Revision techniques
For patients with previous rhinoplasty, more specialised reconstruction may be required to restore symmetry.
The goal is always to achieve natural, subtle, stable symmetry, never a rigid or over-corrected appearance.
Will My Nostrils Ever Be Perfectly Symmetrical?
It’s important to understand that perfect symmetry does not exist, even in models and actors. The aim of surgery is to improve balance and harmony, not to create mathematically identical nostrils.
Patients are usually delighted with a more natural, even appearance, especially when combined with improved breathing.
Recovery After Nostril Correction
Recovery varies depending on the techniques used.
Most patients experience:
A small external splint for one week
No internal packing, breathe straight away
Minimal bruising when using modern Piezo and preservation techniques
Gradual refinement over 6–12 months
When to Seek Specialist Assessment
If nostril asymmetry affects your confidence, appears after previous surgery, or is linked to breathing difficulties, a consultation is recommended. At Adnova Clinic in Fareham, I provide comprehensive assessment and personalised surgical planning for patients across Portsmouth, Southampton, Winchester and Hampshire.
To enquire or book an assessment:
📍 Adnova Clinic
More information:
