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Asymmetrical nostrils can be caused by various factors, both congenital and acquired. Congenital causes include genetic variations or developmental issues during fetal growth, leading to structural differences in the nasal cartilage or surrounding tissues. Acquired causes may involve trauma, surgery, or conditions such as nasal deformities, infections, or inflammation that affect the nasal structure over time. Environmental factors and aging can also contribute to changes in symmetry as facial tissues lose elasticity.

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