My nose is flat and very upturned and the tip is bigger than I would like. Is there a way to fix my upturned nose and narrow the tip?
Can my Upturned Nose Be Fixed? (photo)
Doctor Answers 13
Promoted Local Answer
Yes an upturned nose can be made more natural looking with #rhinoplasty
Yes, but this is a complex type of Rhinoplasty and definitely not one that many plastic surgeons feel comfortable with or do on a regular basis or well.
To reduce the rotation or the upturned look of the tip, the tip must be PUSHED down with extended spreader grafts or a DART procedure or a caudal septal extension graft. Alternatively in less severe cases infratip lobule cartilage grafts can do a nice job to lengthen the nose and make it look less upturned. The size of the tip can be reduced at the same time. You can read more on the link below:
Can my Upturned Nose Be Fixed?
Thank you for your question and photos. An upturned nose is about degree of rotation of the tip. You tip is over-rotated a little. I see this commonly in patients who have had a rhinoplasty that they would like revised because they feel like they have a 'piggy nose'. This is from 'over rotation' of the tip. In correcting this, the tip is then rotated back down to a more 'natural' position. This can be done in your case as well, but needs to be done very carefully. All aspects of the tip need to be addressed to look natural including the definition of the tip, and the columella show. Sometimes a strut needs to be placed to be able to do this. It is hard to know without a physical exam. It is possible, but find a surgeon who has a lot of experience doing this to get the best result.
Pablo Prichard, MD
Lengthening a nose that is too short is difficult and unpredictable. It often requires cartilage and mucosal grafting. I am assuming you have not had prior surgery. Dropping the tip of your nose is not something I would advise. The chances of success are small, I don't care what anyone else tells you. There are plenty of surgeons willing to give it a try whether they have done it before or not. Ask to see photos of similar cases before agreeing to the procedure.
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Rhinoplasty for upturned nose
Your upturned nose can be improved with a rhinoplasty that enlogates your nose by using your own septum cartilage, in addition the tip will be refined and the dorsum will be rebuild.
The answer to your question is yes. What you are referring to is "derotating" your nose and refining the tip. Standard of care would be to do both procedures at the same time. A rhinoplasty would be required to reshape the cartilages of the nose and possibly require grafts to lengthen. This could be done under local, IV or general anesthesia. Let me know if you would like more information.
Fixing Upturned Nose
Your Upturned nose will need to be lengthen which will require cartilage grafts. Select an experienced surgeon because this is is a challenging procedure. The tip can be refined at the same time.
How you can fix your upturned nose
It is possible to bring down your tip so it isn't so upturned. This is a fairly complex maneuver so you want to make sure you find a surgeon who is comfortable with this type of treatment.
You can find out what goes into fixing an over rotated nose at my web reference link below.
Upturned nose and thick tip
It is quite possible to lower the upturned nose, but there definitely will be limitations in thinning the tip due to the thick skin envelope.
Lenthening of the nose is a somewhat difficult procedure. If you have never had previous surgery you have a better chance of success. It requires cartilage grafting to lengthen the nose. Narrowing of the tip is more straight forward. See a board certified surgeon for evaluation. Donald R. Nunn MD Atlanta Plastic Surgeon.
Rhinoplasty for the short nose and bulbous tip.
Rhinoplasty for the short nose and bulbous tip is an advanced procedure and you need to see a very experienced rhinoplasty surgeon. Narrowing the tip causes increased rotation so the surgeon must know how to prevent this as well as lengthening the septum.