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Correction of Upturned Nose Tip After Rhinoplasty?
asked 2 years ago by zaddy123 in CO
Latest answer by William Portuese, MD
Question viewed 767 times
Tags: nose, tip
I had a Rhinoplasty and the tip is slightly upturned. Is there a way to down turn it so the nose projects more? If it's turned down, how many mm will the nose project?
8 answers to Correction of Upturned Nose Tip After Rhinoplasty?
+1
Yes it is possible.
We can derotate the nose and project it as much as we wish. But this requires a great deal of experience. You should see an experienced revision rhinoplasty surgeon. You can go to our website to see examples of derotated revision noses.
+1
Upturned nose can be turned downward to some degree
An upturned nose can be turned downward to some degree with multiple different tip techniques and structural cartilage grafting. It is difficult to make the nose project more by turning it down. Usually when bringing the tip downwards you also decrease the projection. Conversely, when trying to increase projection, the tip usually goes up. The nose can project or de-project no more than about 3 to 4 mm with the two procedures available.
+1
Short Nose
The nose can be "de-rotated" after rhinoplasty. You do not mention when the surgery was done. Swelling, which can give the appearance of increased rotation, may last 9-12 months. Lengthening the nose and increasing projection are frequently done by experienced surgeons.
+1
What to do with an upturned tip after rhinoplasty
The first thing I'd want to know is how long it has been since your rhinoplasty. If early (3 months or less), it is possible that the tip rotates even more as healing occurs, or conversly (depending on how the rhinoplasty was performed) that the tip settles back down into a more normal position. A lot can happen in the first year after surgery, which is why it is important to wait.
If after 1 year the tip is still in an undesirable position, have your nose re-evaluated and discuss the...
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+1
Rhinoplasty tip revision
Yes, the tip of the nose may be able to be brought down a bit in a revision rhinoplasty. Usually I wait at least 1 year to perform revision.
+1
Revision Rhinoplasty
Correcting an over-rotated tip after previous rhinoplasty can be challenging.
The nasal tip position is determined by an interplay between the strength of your tip cartilages and the supporting structures around it; the most important of which is the nasal septum. If this structure was trimmed back at the time of your first operation, then the correction becomes more difficult. If grafting or suture remodeling of the tip was done at the time of the first operation, then those maneuvers...
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Richard W. Westreich, MD
Manhattan Facial Plastic Surgeon
Manhattan Facial Plastic Surgeon
+1
De-rotating the tip
The answer is yes. Tip de-rotation is possible, however the techniques used are advanced and require an experienced rhinoplasty surgeon. The outcomes can be excellent. Good luck.
+1
Rhinoplasty Revision of Upturned Nasal Tip
Hi Zaddy,
Yes, a nose that is slightly turned up at the tip can be revised to increase the projection. It is an advanced technique in rhinoplasty so make sure that your rhinoplasty surgeon is comfortable with the procedure.
Good luck and be well.
Dr. P
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