Rhinoplasty: Q&A

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Short Upturn Nose? (photo)

I'm seeking to turn my nose downwards to cover the nostrils a bit. They said they could not use a long implant because it would protrude and at best I would have a bulb at the end of my nose. How would you go about changing this nose so it projects more, is longer, and turns the nose down a few more degrees? I would imagine lifting the sides of my nostrils might help, but would my lips just pull it own?

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13 Doctor Answers | Asked by smurfy in san jose, ca

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The tip in Asian Rhinoplasty

Hi Smurfy, Often with a weak dorsal line and poorly defined.tip leads to the perception of a short and upturned tip. The flaring of your nostrils actually worsen this so the worst thing would to be to raise them. Adding a dorsal graft from your own tissue or alloplastic material will totally change this perception and lengthen the appearance of your nose. L struts are not my favorite because they leave the tip poorly projected and have a significant risk of infection and exposure. The... more

Treatment of Short Nose

Your nose can be lengthened with your own cartilage using a septal extension graft. Do not use an implant which usually is synthetic material. Your tip should be refined and projected with another cartilage graft. It is difficult to tell with this one picture but it appears that your bridge should also be augmented. You need a stronger, defined nose.

Richard W. Fleming, MD

9 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Correction of an upturned nose

The actual deformity looks more like a deficiency of the bridge of the nose. To correct this I recommend a rib graft to the dorsum . This will add balance and correct the upturned look. Talmage Raine MD FACS

Talmage J. Raine, MD

5 reviews

Chicago Plastic Surgeon

Asian rhinoplasty to treat short, upturned nose

It is possible to improve your upturned tip. I prefer using your own cartilage to do this. This can involve using cartilage from your septum, ear or rib. The idea with using the cartilage is to create a stable base on which to reposition your upturned tip cartilages.

Lengthening the Asian nose

Evening Smurfy, Essentially everything you've been told about the need for cartilage grafting of the tip are accurate. We would need to take cartilage from your ears or the septum of your nose to achieve this. Based on your nose you're most likely background is SE Asian, Philippines or your south China. Why does that matter? It makes it less likely that your septum will have good cartilage to donate, making your ear or ears the most likely... more

Chase Lay, MD

18 reviews

Bay Area Facial Plastic Surgeon

www.chaselaymd.com

Cartilage Grafting For Lengthening The Short Nose

Lengthening the short nose is a common issue in many ethnic rhinoplasties. Cartilage grafts are need to both lengthen the columella as well as drive the tip downward through septal extension grafts if desired. Grafts may also needed on the tip to help create this movement as well.. Such lengthening has also been done through an implant that is a combined dorso-columellar shape but it is never a good idea to use an implant to push the tip downward...that is a complication waiting to... more

Asian rhinoplasty with nasal augmentation

Dear Smurfy, the issues you are concerned about - short or flat nasal dorsum, up turned nasal tip and exposed nostrils - are common concerns in patients of Asian ancestry, who are considering a rhinoplasty. Either one's own cartilage or a nasal implant can be used to help correct these problems and each contains its own advantages and disadvantages. Available doner tissues and skin tightness/laxity would need to be evaluated before determining which type of procedure... more

Rhinoplasty nose surgery

Dear smurfy, I like to use your own cartilage to lengthen the nose as well as add to the bridge if it is necessary for a great cosmetic outcome We would use cartilage from the septum (the wall that separates the two sides of the nose), and probably some from the ear if you needed extra height on the bridge (you would not notice any changes to the ear) Implants are used commonly in Asia, I just do not like them as they can get infected and I have had to remove them when... more

Asian Rhinoplasty- Lenghtening the nose

Short nose with an upturn of the nasal tip and lack of adequate nasal bridge is common among Asian and African American women who seek rhinoplasty in Los Angeles. Because most of these people do not have enough nasal septal cartilage to be used as a nasal graft, a nasal implant is instead used to add nasal bridge and to lenghten the nose.

Lengthening the short nose.

I lengthen short noses by grafting cartilage from your septum and if needed from your ear to bring the tip and side walls of the tip down. You can see examples on the website--look under revision rhinoplasty

Toby Mayer, MD

7 reviews

Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Lengthening the short nose

Trying to,lengthen a nose is much more difficult than trying to shorten a nose. You nose really looks okay to me. Any attempt to lengthen it could either fail or just not look very good. I advise against it, even though technically it is possible.

Upturned Nose

This is a common request in my practice. An upturned nose can be brought down with cartilage grafting. I prefer using a patient's own cartilage and tissue for the nose instead of any type of implant because of the complications that I have seen from patients who have had implants put in by other surgeons, including Asia. No implant will likely bring the nose down. Additionally, if you wanted to build up the height of your nose, it could be done at the same time using... more

How to lengthen a short nose

Thank you for your question and photo to review. You will need cartilage grafting in order to lengthen your nose. The cartilage can be taken from your septum. I do not use artificial implants so I cannot comment on whether or not those could be successful. Good luck.