Today there are several new techniques that can push the nose tip down, whether it is naturally turned up or the result of a previous surgery. In either situation, structural cartilage and grafting techniques are now performed to push the tip down in the event it has scarred or is naturally upturned.
A short and overly upturned nose can give an unnatural appearance to the nose. Short noses typically have too wide of an angle between the nose and the upper lip. In an ideal nose, this angle (called the nasolabial angle) is in the range of 95- 105 degrees for women and 90-95 degrees for men. Correction of a short and upturned nose typically requires changing the framework of the nose to make the nose appear longer. The intended result is a nose that is more harmonious with the rest of the face and has a natural and aesthetically pleasing angulation.
This young woman felt that her nose was too upturned and wanted a more natural and softer appearance. After rhinoplasty surgery the tip of the nose is not lifted up as much and appears less prominent and more feminine in appearance. Less of her nostril is visible.
http://www.seattleface.com/html/before_n_after_set.php?procedure=primary_rhinoplasty&id=16
Here is another example of an overly turned up nose with excessive show of nostrils that was improved with a primary rhinoplasty:
http://www.seattleface.com/html/before_n_after_set.php?procedure=primary_rhinoplasty&id=14
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