Can a Male Upturned Nose Be Corrected? (photo)

asked 7 months ago by MrMonkey in Europe (but looking to the U.S. for rhinoplasty)
Latest answer by William Portuese, MD
Question viewed 380 times
Tags: male, nostril reduction, upturned

Considering (primary) r.p., but still uncertain if it's worth it, and would like some opinions on results, procedures, costs. My main concerns are the nasofrontal and nasolabial angle; how much can I realistically expect these be corrected in comparison to my current angles (acute vs. obtuse angles). Other concerns are bulbous tip, which I would like to see more refined, and columellar show. I want more projection and definition, but not a smaller nose (I don't think nostril reduction would fit)

10 answers to Can a Male Upturned Nose Be Corrected? (photo)

Rhinoplasty for the male upturned, short nose.

Rhinoplasty for the male upturned, short nose is done by extending the length of the nose with grafts of both cartilage and skin. This is similar to the procedure that we do for revisions that essentially have a short nose like yours. You can see photos of this procedure on our website. Make sure you see an experienced revision rhinoplasty surgeon since this is not a beginner procedure.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Correcting a male upturned nose

It is possible to correct an upturned nose with several different maneuvers. Trimming the inferior most portion of the columella to decrease the columellar show and a portion of the nasal spine will drop the projection and the nasolabial angle. A small wafer of cartilage at the nasal frontal angle may also help derotate the tip. It would be impossible to give more projection to this nose as in attempting to do so, it would rotate the nose higher than it already is. ... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Upturned Male Nose

Unfortunately we do see upturned nose when doing revisions ; it is very unusual to see this problem when doing a primary rhinoplasty. Your tip can be refined, de-rotated and the nose lengthened. This will require cartilage grafts, but your goals can be achieved by an experienced surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Or you, a rhinoplasty will require making deliberate moves to improve that nose-lip angle.

Dear MrMonkey; Your analysis is correct. The nasolabial angle is quite obtuse and rather unusual for a man. Right now you can see right into the nasal cavities. Apparently you did not have previous surgery, so yours is particularly rare. Narrowing the tip of the nose runs the risk of the healing process making the nose tip up even more, so your case has to be dealt with very carefully. You will probably require some cartilage grafts to help... more

Robert Kotler, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty

Your posted photos show an upturned nose with completely visible nostrils on a front view and a nose to upper lip (nasolabial) angle of about 125 degrees. The preferred angle in a male is 90 degrees. I suspect you will need a cartilage graft extending from the septum down between the right and left tip cartilages. The degrees of rotation can then be controlled by the way the cartilages are sutured together. You may also need removal of the nasal spine and reshaping of the bottom of the... more

Aaron Stone, MD
Los Angeles Plastic Surgeon

Male upturned nose

You do have a very rotated nose with obtuse nasolabial angle and significant nostril show which is not pleasing. Rhinoplasty with tip derotation and reset of the angle with extension grafts and or internal composite grafts will significantly improve your aesthetic balance. Better photos would also help determine if chin implant and or mild radix augmentation would help as well. This is not a routine case and you need to find an experienced rhinoplasty surgeon. Good luck!

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Can a Male Upturned Nose Be Corrected?

I have performed Rhinoplasty and Revision Rhinoplasty for well over 20 years and IMHO, your nose is severely scooped with an upturned, over rotated nasal tip that screams "previously operated". IMHO, it would be an aesthetic improvement to soften the over-rotated tip effect. One of the easiest methods, that I have used, is to tuck the lower section of the columella to make the tip appear as though it has been roatated downward. This simple... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty for the male nose

You nose is upturned well beyond the aesthetic ideal for a male nose. This can be accomplished through a rhinoplasty procedure, but it is likely that you will need additional strong cartilage from the rib to help reposition and stabilize the tip in a less rotated position. find an experienced rhinoplasty surgeon if you are considering undertaking the procedure. Best of luck, Vincent Marin, MD San Diego Plastic Surgeon

Vincent P. Marin, MD
San Diego Plastic Surgeon

Male

Be careful. You are overrotated at the tip and fixing this may change your dorsal contour. I personally think male nose have to be done carefully so as no to effeminize them

David A. Bray, Sr., MD
Los Angeles Facial Plastic Surgeon

Upturned nose

Upturned noses can be successfully turned down. An open rhinoplasty approach is used to expose the tip cartilages. The septum inside is then extended and the tip cartilages resewn onto the extension. You can get 5 - 10 mm with this technique, and it often produces a very good change in appearance.