Hello dear, the doctor understands that after undergoing rhinoplasty, many people become worried when they notice uneven nostrils. This is one of the most common concerns patients have, as the shape of the nostrils and nasal structure depends largely on each person’s individual anatomy. Let the doctor explain in detail the causes and possible solutions so you can feel more reassured.
Causes of Uneven Nostrils After Rhinoplasty
In fact, uneven nostrils after rhinoplasty can result from various causes. The most common reason is congenital asymmetry — meaning that before surgery, your nostrils were already slightly uneven. When an implant is inserted or the nasal cartilage is reconstructed, this pre-existing difference can become more noticeable.

Additionally, surgical technique plays a crucial role. If the surgeon lacks experience, places the implant unevenly, or handles the nasal septum inaccurately, the nostrils may become asymmetrical. Another possible cause is postoperative complications, such as cartilage contraction, scar tissue fibrosis, or prolonged swelling that temporarily distorts the nostril shape.
In summary, when experiencing uneven nostrils after rhinoplasty, it’s essential to determine whether the issue is due to your natural anatomy or surgical technique in order to choose the appropriate corrective approach.
How to Correct Uneven Nostrils After Rhinoplasty
First, the doctor advises not to draw conclusions too soon after surgery. During the first 1–3 months, the nose is still swollen and tissues have not yet stabilized, so uneven nostrils may only be a temporary condition. Once the swelling subsides and the nose settles into shape, the asymmetry often improves significantly.

If, however, the nostrils remain noticeably uneven after 6–12 months, you should schedule a follow-up examination with a qualified aesthetic specialist. For mild cases, the issue can often be corrected with minor procedures such as nasal septum adjustment or soft tissue modification around the nostrils. In more severe cases, structural rhinoplasty may be required to reconstruct the nasal septum and alar base, restoring balance and harmony between the nostrils.
Most importantly, you should choose a surgeon with extensive experience in nasal reconstruction to ensure high precision and minimize the risk of recurrence of uneven nostrils after rhinoplasty.
If you are currently experiencing uneven nostrils after rhinoplasty and are unsure how to proceed, the doctor recommends visiting Gangwhoo Cosmetic Hospital for an in-person examination. Here, the team of nasal specialists will perform a thorough assessment and provide an optimal corrective plan, ensuring a natural, symmetrical, and long-lasting nasal result.