How Can I Fix Alar Asymmetry After Two Prior Rhinoplasties?

Q: Dr. Eppley, Left alar asymmetrical, I’ve had 2 rhinoplasties and don’t know what to do. I just want my nostrils to be sisters not twins. 

A: Your left nostril has alar rim retraction, presumably from the prior open rhinoplasties. Such alar rim retraction repair (alar rim lowering) requires a septal cartilage rim graft. 

It is possible that one may see the right nostril rim as too low (although i doubt it) in which case it can be raised.

Dr. Barry Eppley

Indianapolis, Indiana