This can occur unevenly and can be corrected by repositioning these crura. The medial crura is made of cartilage that make up the collumella. Uneven nostrils occur naturally when the medial crura flare toward the floor of the nose. The new cartilage is kept in place by stitches which helps to keep long lasting improvement to the nostril asymmetry. This process means either repositioning the existing septum or removing the deviated portion of the cartilage and reconstructing it with a new, straight piece of cartilage (typically taken from a different part of the septum or ear).
When treating a septal deviation the first step is to rebuild and correcting the asymmetries of the nostril openings. How do I treat a caudal septal deviation? We divide them into medial crura (the part closest to the midline) and lateral crura. The alar cartilages are the lower cartilages of the nasal skeleton that run between the nostrils and around their rims. The part of the septum at the very end between the nostril openings is called the “caudal septum”. It normally sits precisely in the midline. The nasal septum is the cartilage that divides the two nostrils into their separate halves. Some people develop uneven nostrils naturally and in others it can occur after surgery. A problem with the septum can also cause a secondary bend in the alar cartilages (medial crura or lateral crura) so that both problems exist together. Uneven nostrils can be caused by a deviation of the end of the nasal septum or a difference in the shape of the alar cartilages. What causes uneven nostrils sizes and asymmetry?
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