How Can I Fix my Turned Up Nose?

The bridge of my nose is sloped so the tip is turned up at the end. My nostrils are very visible and I hate it. What are my options for getting this fixed? Is nose surgery the only way, or do I have non surgical options?

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nose nasal deformity

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21 Doctor Answers | Asked by anon

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Turned up nose (over-rotation)

Turned up nose or over-rotated nose is commonly seen after an aggressive reduction rhinoplasty followed by tissue contracture, but can also exist for patients who never had any nasal surgery in the past. There are several options both non-surgical and surgical, depending on one's anatomy. Non-surgical (limited): If the dorsum (bridge of the nose) is concave (sloped), adding fillers such as Radiesse can give an allusion of a longer nose (nasal lengthening). This however, will do very little... more

Today there are several new techniques that can push the...

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.

Fixing an up-turned nose

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... more

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

"Piggy nose"

Your complaint is a common one in patients seeking revision rhinoplasty. But even if you have never had a rhinoplasty before, some patients are born with upturned noses. The solution is known as derotation of the tip. Adding length to the top of the nose is usually the only means by which the tip cartilages can be rotated down. Multiple techniques such as dorsal onlay grafting (with rib cartilage), extended spreader grafts, and suture techniques are often combined with extensive skin... more

How to drop the nasal tip down

The angle that the nasal tip makes with the upper lip when viewed from the side is medically referred to as "rotation." Your problem appears to be one of "over-rotation" which results in increased nostril visibility. In the context of nasal problems, this is a relatively uncommon one. Defining the "best" nasal tip position is a very subjective idea. Many things play into the determination of whether your nasal tip is in the best possible place for you. The... more

Fixing an upturned nose with rhinoplasty

There are a variety of rhinoplasty techniques for fixing an upturned (over-rotated) nose. The basic principle is to bring the tip of the nose down, restoring a more normal angle between the upper lip and the nose. This angle should be 90-95 degrees in men and 95-105 degrees in women, ideally. The tip can be counter-rotated by shortening the medial crura of the tip (lower lateral) cartilages, which sit behind the columella, the portion of the nose between the nostrils. This maneuver,... more

I assume that you never had a rhinoplasty before,...

I assume that you never had a rhinoplasty before, because these are often the complaints of some patients that I see for secondary rhinoplasty procedures (operations performed after a patient's original rhinoplasty by another surgeon). If the bridge is low, it can be augmented. If the nose is turned up, sometimes the nose can be de-rotated using several different techniques to bring it back down. Nostril visibility is often a complaint of patients undergoing secondary procedures, and there... more

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

An upturned nose can be improved with rhinoplasty

If the nasal bridge is too low a non surgical rhinoplasty may be a good option to obtain the results you desire. If the tip needs extensive work a traditional surgical technique may be best.

Robert Mounsey, MD

5 reviews

Toronto Facial Plastic Surgeon

revesse.ca

Probably needs cartilage grafting to lower the tip.

The situation is a little more challenging than the standard rhinoplasty with a dorsal hump. If you have never had rhinoplasty then this is probably due to a congenital short nose. Cartilage grafts can be used to lengthen the nose or just the tip if that is all that is needed. The cartridge can be harvested from the septum which is the dividing wall between the nostrils. This may be a situation where a closed rhinoplasty is better since the placement of the grafts places tension on the skin... more

How to fix an upturned nose

There are a number of different techniques to fix an upturned nose. It would be very difficult to describe exactly how the different procedures are done, but I use an open rhinoplasty approach to allow the tip of the nose to be derotated so that the nose is a bit longer and the nostrils are less visible.