How to correct upturned tip after Rhinoplasty?

I had primary Rhinoplasty 1 year ago and I regret it. Before the Rhinoplasty, I had stronger and symmetrical nose and I was very satisfied with my face. After operation, my nose is more feminine in profile, but tip is little bit upturned and I don't like it. The result is not bad and drastic. I think my old nose was better balanced and I would like to consider revision and rotate my tip down. Also, I am very sceptical about adding cartilage because I have heard cartilage can warp with time. Any suggestions? Thanks.

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7 answers to “How to correct upturned tip after...”

A: It is possible to bring the tip back down.

William Portuese, MD

It is possible through some rhinoplasty techniques to bring the tip back down. Sometimes this can involve cartilage grafting. The cartilage grafts from the nose do not warp over time. Ear cartilage grafts can and do warp and are not recommended as the primary source of cartilage. Make sure that your... more

A: You need to see a revision rhinoplasty specialist.

Toby G. Mayer, MD

 Lengthening a short nose requires more expertise and experience than removing a bump from the nose. Grafts of cartilage and skin are usually required and come from the septum or ear. See good before and after pictures and talk to a patient that has had this done by the doctor. My patients who have had... more

A: Need consultation for Rhinoplasty

Phillip Langsdon, MD

There is really no way to begin to address these issues without a complete set of pre-operative and one year post-operative photographs. In situations like this it is important to understand the aesthetic issues. I am happy to review them.

A: Cartilage graft to fix rotation of nose tip

Behrooz Torkian, MD

Hi Zoya, The upturned tip can be corrected with cartilage grafts from the septum or the ear.  Generally, your surgeon will find other things that can be improved during your revision.  If indeed the only necessary alteration is to decrease the tip rotation, I would recommend giving the first... more

A: A picture is worth a thousand words

Eric M. Joseph, MD

Dear Zoya, If you post a picture, we'd all be able to give you better suggestions. Rotating the tip down is not easy, and in my hands, unpredictable. Unless you're severely over-rotated, gravity will slowly work in your favor. If the appearance of your profile is too feminine, sometimes it's because the bridge... more

A: Cartilage grafts, properly used, can help

David C. Pearson, MD

Lengthening an over-shortened nose is always difficult, in part due to the contracted skin/soft-tissue envelope of the nose. Caudal extension grafts and extended spreader grafts can be used successfully. The best tissue for this is usually septal cartilage (from the mid-line partition of the nose), but if... more

A: Rhinoplasty...Tip Too Turned Up

Michael A. Persky, MD

Hi Zoya, Your own cartilage (from your nasal septum or ear) is the best, most reliable material to augment your nose with.  Medpor makes a very nice nasal implant that has worked very well in my practice to augment the nose.  To correct the tip that is too superiorly rotated will require using grafts... more

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