I Want to De-Rotate my Upturned Nose

Brookee,

I'm not sure where you read that derotation of the nasal tip or nasal lengthening surgery could make the condition worse.  It is overwhelmingly more likely to make the rotation better.  Of course, it is surgery and somewhat unpredictable with some risks.  Worsening of the rotation would probably be on the bottom of the risk list though.  An experienced, board certified rhinoplasty surgeon should be capable of correcting your condition.  Good luck!

I am sorry to hear about your troubling nose.  Nasal changes definitely occur after maxillary osteotomies (upper jaw surgery) and should be anticipated.  Some of these changes are for the better and some for the worse.  Your nose can be addressed with a rhinoplasty.  Generally for your case work with lower lateral cartilages and possibly your caudal septum is needed.  It is difficult to tell you more specifically without pictures.

Dr. ES

A very experienced revision rhinoplasty surgeon should be able to lengthened and de-rotate your nose. I personally have never had a nose be worse after this operation and you should not be concerned abut his if you choose a good surgeon who routinely does revisions.