One Nostril Bigger Than the Other

What are Asymmetrical Nostrils?

Asymmetrical or uneven nostrils are characterised by one nostril being bigger than the other or the nostrils being different shapes. For some people, this may be a cosmetic concern; however, for others, the bigger nostril may not be noticeable visually but may be causing breathing difficulties or sleep concerns such as snoring or sleep apnoea.

There are several reasons why an individual may have one nostril bigger than the other or different shaped nostrils. For people who are worried about asymmetrical nostrils as a cosmetic concern, this could lead to a lack of confidence or self-consciousness which may affect their social or professional lives. In cases where asymmetrical nostrils are causing breathing difficulties, this may affect participation in activities such as exercise. Sleeping issues such as snoring and sleep apnoea can also negatively impact wider health and wellbeing.

If you are concerned about having one nostril bigger than the other, or different shaped nostrils, there are a number of surgical and non-surgical solutions which can both create a balanced appearance to the nose and correct breathing difficulties.

Are Everyone’s Nostrils Uneven?

Asymmetry is completely natural in the human body, and no one has completely symmetrical features. Although having asymmetrical nostrils is normal, in cases where the differences in size and shape are more obvious or where the quality of life is affected, an individual may wish to seek treatment.

The best way to decide on the right treatment for you is to have a consultation with a Consultant ENT Surgeon. They will be able to assess your concerns and recommend the best solution to meet your needs. Cadogan Clinic has brought together a selection of the UK’s best Consultant ENT and Rhinoplasty Surgeons who are dedicated to providing the highest quality patient care and outcomes.

Why is One Nostril Bigger Than the Other?

Asymmetrical nostrils have many causes, and understanding the cause of your uneven nostrils is crucial in determining the best treatment. During your consultation, your surgeon will discuss your medical history to determine the cause of your nostril asymmetry if you aren’t already aware of the underlying issue.

What Causes One Nostril to be Bigger Than the Other?

Genetics

Our genes determine many of our features. Some people may be predisposed to having one nostril bigger than the other or different shaped nostrils due to their natural nostril anatomy. Although it is a natural trait, it may still result in breathing or cosmetic concerns and can be addressed with a range of treatments.

Injury or Trauma

Injury to the nose is one of the most common causes of asymmetrical or different shaped nostrils. Any injury which affects the cartilage which makes up the structure of the nostrils may cause a change in shape or size. How a broken nose is immediately treated is crucial to avoid any long-term effects.

Deviated Septum

In some cases, the septum (the cartilage dividing the nostrils) is either naturally crooked or becomes contorted due to injury or medical issues, known as a deviated septum. This results in one airway within the nose becoming narrower than the other, creating one bigger nostril. This typically causes breathing and sleeping issues, which can be uncomfortable.

Previous Surgery

Following a Rhinoplasty, it is normal for the nostrils to look uneven during the healing phase. This is usually due to swelling, which can take several months to resolve. This can be troubling; however, it will improve over time. In some rare cases, abnormal scar tissue developing around the nostrils may cause a change in size or shape. If you have any concerns, it is important to speak to your surgeon to allow them to assess your nose and offer any support.

What are the Symptoms of Asymmetrical Nostrils?

There are many signs to look out for if you think you have asymmetrical nostrils. Some of these may also be deviated septum symptoms, so may also indicate the cause of uneven nostrils.

Appearance

For some people, the difference in the size and shape of their nostrils can be quite clearly seen when looking at the front, profile or underside of their nose (known as the alar base). This may not always be deviated septum symptoms, but a nasal septum deviation can sometimes be seen when looking at the alar base. The edges of the nostrils can also be slightly higher than looks proportionate, this is known as Alar Rim Retraction.

Blockage in nostrils

Having the feeling of both or one nostril blocked over a long period of time can be a sign that you have asymmetrical nostrils. This may also lead to breathing difficulties or snoring and sleep apnoea. You can tell if you have both or one nostril blocked as your nose will feel stuffy, similar to having a cold or allergies. However, the blockage won’t improve over time, or when you blow your nose.

Recurrent nosebleeds

A common sign that one nostril is bigger than the other, and that there may be an obstruction within the nose is recurrent nosebleeds. This can be due to ongoing nasal irritation or dryness.

Dry mouth

Having a dry mouth, especially when you wake up in the morning, is a sign of breathing difficulties, meaning you are favouring breathing through your mouth, especially when you are asleep. Breathing through your mouth when you are asleep also increases the risk of snoring.

Being aware of the nasal cycle

The dominance of the airways in the nose naturally alternates roughly every 2-3 hours. This maintains the essential humidity within the airways and the sense of smell. If you are aware of the airways switching sides throughout the day, it may be that one nostril is larger than the other.

Sleeping position

Having a preference for sleeping on one side may indicate that you have one nostril bigger than the other. You may find breathing easier on your preferred side, even if you aren’t aware of the difference.

How to Fix Nostril Asymmetry

Fortunately, there are many solutions to address one bigger nostril or different shaped nostrils. The right treatment for you will depend on the cause and severity of your concerns and whether they are only cosmetic, or functional as well.

Non-Surgical Treatments for Uneven Nostrils

Non-surgical treatments are an effective way of addressing the size of asymmetrical nostrils and changing the nostril shape. However, non-surgical treatments are only able to address cosmetic concerns, and cannot improve breathing difficulties or other functional issues.

Dermal Fillers (Non-Surgical Rhinoplasty)

A Non-Surgical Rhinoplasty involves injecting small amounts of Dermal Filler into the soft tissues of the nose to change its shape. This includes around the corners of the nose and the nostrils to adjust their size and shape. A Non-Surgical Rhinoplasty usually lasts between six and twelve months, before a follow-up appointment is required to maintain the results.

Surgical Treatments for Uneven Nostrils

For patients looking for a permanent solution to their asymmetrical nostrils, or who have functional concerns that cannot be addressed with non-surgical treatments, there are a range of surgical options to consider.

Alar Base Reduction

Alar Base Reduction, also known as Nostril Reduction Surgery, is a procedure which focuses on changing the size and shape of the nostrils. For patients concerned about the position of the edge of their nostrils (known as the alarm rim), grafts can be placed to lower the edge and create an even shape and size. Tissue can also be removed from the nostrils to create a consistent shape and reduce nostril flare.

Alar Base Reduction can also be combined with other nose surgery procedures to enhance the final results and address other areas of the nose.

Septorhinoplasty

For patients who also have functional concerns or who have a deviated septum, Septorhinoplasty is a comprehensive and effective surgery. The nose is opened to allow the surgeon to work on the internal structures of the nose, straightening any crooked cartilage and opening the airways. Your surgeon will then address any cosmetic concerns you have, including aligning the nostrils.

Words From Our Founder

Mr. Bryan Mayou

Although the nostrils are a small area of the face, they can significantly impact an individual's appearance. Having one nostril bigger than the other can also indicate functional nose concerns, such as breathing difficulties, which can seriously affect health and quality of life. Fortunately, there are several effective solutions to meet a variety of needs which result in improved confidence and quality of life.

Mr. Bryan Mayou

Frequently Asked Questions

How to fix one nostril bigger than the other?

Finding the right treatment for asymmetrical nostrils will depend on the cause, severity and nature of your concerns. A qualified consultant surgeon will discuss your concerns and desired results during a consultation to decide on the best options to meet your needs.

Can you change the shape of your nostrils?

There are several treatment options available to change the shape of your nostrils. The best way to decide on the right treatment to change the shape of your nostrils is to speak with Cadogan Clinic’s team of dedicated patient advisors, who will answer your questions and match you with a surgeon who can achieve your desired results.

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