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Risk of Uneveness with Rhinoplasty for Wide Nose and Upturned Tip?

asked 2 years ago by Barbie412 in chicago
Latest answer by Sam Naficy, MD
Question viewed 1,664 times
Tags: nose, nostrils, female, asymmetry, risk, thin, tip, uneven, upturned

What kind of Rhinoplasty would be the best option for me. I want my nose to look straight from the side and also thinner from the front. Is there a risk of uneveness if only tip is corrected? If my nostrils are shortened is there a risk that they will appear uneven as well?

17 answers to Risk of Uneveness with Rhinoplasty for Wide Nose and Upturned Tip?

Rhinoplasty for the upturned nose.

It is possible to do only the tip without touching the bridge other than narrowing. It is difficult to evaluate your entire nose from just the profile, but it is likely that you would require some cartilage grafting from your septum to correct the upturned part of the tip. See an experienced rhinoplasty surgeon in your area.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Risks of rhinoplasty surgery

Certainly all of the risks you mentioned are possible, just not very common. It is best as Dr. Placik suggested to view the nose in its entirety to see how the balance could be optimized,not just consider it as a unrelated parts. You would do well to consult with him if you are in Chicago. Often reducing tip projection slightly and softening the tip can yield a more pleasant nose, without having to do anything with the nostrils. Definitely consider the entire nose, especially if both... more

Brent Moelleken, MD
Beverly Hills Plastic Surgeon

Probably more to an upturned nose than just the tip

The profile photo you have provided demonstrates an over rotated nasal tip. In rhinoplasty surgery every move that is made to correct one portion of your nose needs to be carefully considered. If one area of the nose is changed during rhinoplasty than another area will likely need to be addressed as well. If you lower your tip, the nasal dorsum and nostrils will likely be affected in some way. I would not suggest shortening your nostrils unless they flare out significantly after lowering... more

Philip S. Schoenfeld, MD
Chevy Chase Facial Plastic Surgeon

Treating the upturned nose

A tip only rhinoplasty can create a thinner tip. However some form of cartilage grafting, most likely taken from the septum would be required to rotate the upturned tip downwards. As Dr. Aldea stated this may make the nostrils appear rounder and this could be treated with alar rim grafting and or modified Weir excisions.

Otto Joseph Placik, MD
Chicago Plastic Surgeon

Rhinoplasty can correct an upturned tip

Most often the concern in rhinoplasty is maintaining a soft and subtle projection of the tip of the nose just above the nasal bridge. From the picture that you presented is seems that the opposite is true. The bridge of the nose is straight, and we can see that the tip projects well above. During rhinoplasty it is very possible to reduce the prominence of the tip, and raise the bridge of the nose as the nose is narrowed as viewed from the front. Computer simulation can help you... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Rhinoplasty Surgery may address a bulbous, overprojected tip.

Your tip appears to be a bit overprojected, and if it's bulbous on the front view, you could have these issues addressed with Rhinoplasty Surgery. I think you raise a good point about the angle of your tip and upper lip. You have an attractive nose-lip angle, but further rotation could lead to an "upturned" appearance. If your nostrils are symmetric now, then they should remain symmetric after surgery. If your nostrils are wide on the front view, then deprojecting your tip... more

Eric M. Joseph, MD
West Orange Facial Plastic Surgeon

www.ericmjoseph.com

Sometimes its just the tip, but more often the entire nose needs to be adressed for balance in rhinoplasty

Many patients come in asking for just the tip of their nose to be refined, or just the hump removed. If that is the only thing done, the nose may become out of balance. I find that computer imaging is an excellent tool to demonstrate how the nose usually needs to be treated top to bottom for a balanced result. Sometimes, it can be just the tip or the hump, this can also be demonstrated by imaging.

Steven J. Pearlman, MD
New York Facial Plastic Surgeon

Tip-plasty

Hi Barbie, It looks like a tip - plasty would suit you well. Its difficult to be certain without seeing the front of your face. Reduction of your tip cartilages and reshaping of your tip would deproject your nose and make it narrower from the front. As far as nostril reduction, that would depend on what your nose looks like from the front. There is always a chance for postoperative asymmetry. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Rhinoplasty options

It's difficult to give a precise answer with only a side view, but it sounds like you'll need a full rhinoplasty to narrow the entire nose. If the tip only bothers you, a tip plasty alone would be reasonable. There is technically always a risk of uneven nostrils, but certainly everything done during surgery is aimed at restoring symmetry. Keep in mind that if you start with uneven nostrils, they will have a greater chance of remaining uneven after surgery. Best wishes and good luck. more

Nina S. Naidu, MD
New York Plastic Surgeon

Upturned nose can be improved with rhinoplasty

As seen on the link below one can reduce the upturned appearance and excess width of the nose with rhinoplasty. Based on your side photo you appear to be a good candidate for rhinoplasty.

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Risk of Uneveness after Correcting a Wide Nose and Upturned Tip

Although rare, there is always a risk of uneveness after rhinoplasty surgery. The profile line can be maintained, even if it is necessary to narrow the upper 2/3rds of your nose. The tip can be narrowed, tip projection decreased, or the tip de-rotated depending on the goals of you and your surgeon.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty for wide upturned nose

There is always the risk of having asymmetries present after rhinoplasty surgery. All noses have some degree of pre-existing asymmetry. The bridge can be built up with cartilage grafts in the supratip area of the nose, which would push the tip down. Narrowing of the nasal bulb can be accomplished with osteotomies and bringing the nasal sidewall inwards. In skilled hands the chance of asymmetry is very mild and the nostrils usually remain the same. It is important that you go to a very... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

An open rhinoplasty can bring your tip into balance with your nasal bridge

It appears that your tip is somewhat over projecting while your bridge (dorsum) is relatively straight. Decreasing tip projection will give your nose a more balanced appearance. If the tip is wide, then a careful combination of removal of some cartilage and reshaping of the remaining cartilage will provide a more narrowed and refined tip. If the bridge is not too wide, you may just need a tip plasty, but if the upper part of your nose is wide or needs to be reduced in projection, then you... more

Michael D. Yates, MD
Huntsville Plastic Surgeon

Deprojection is what you need

Hi Barbie, From the profile view you showed, your tip looks overprojected (projecting too far from your face) and a little rounded. Your bridge height and contour on this view look good. It is possible to give you a straight profile by deprojecting your tip alone. There are ways to do this that will not create excessive nostril flare, and will stabilize and support your tip while giving you the desired amount of refinement. Your other questions about nostril narrowing and thinning from the... more

Jason Litner, MD
Beverly Hills Facial Plastic Surgeon

Rhinoplasty and tip

Without seeing other views it would be difficult to tell you for sure. But, a tip can be done to decrease the overall height and projection and certainly soften it without doing anything significantly for the other structures.

Steven Wallach, MD
Manhattan Plastic Surgeon

Correcting the Wide Nose with the over projecting tip.

More than one view of the nose is needed to advise you on what MAY be applicable in your case. You would probably benefit from a Tip rhinoplasty (refining the tip and lowering it to reduce its projection). Lowering and de-rotating the tip will result is some rounding / flaring of the nostrils. You can simulate it by pushing the nose towards the face and watching the nostrils bow out. This flaring, if needed, can be corrected with a wedge (Weir) excision at the time of the nose surgery OR at... more

Peter A. Aldea, MD
Memphis Plastic Surgeon

Chicago rhinoplasty

Since we only have a side view of you, I can't really answer your question. I would advise you consider seeing Dr. Dean Toriumi in Chicago who is felt by most to be a top rhinoplasty expert.