Best technique for upturned nose Rhinoplasty?

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6 answers to “Best technique for upturned nose...”

A: Revision Rhinoplasty

By Steven Wallach, MD - Manhattan Plastic Surgeon

I am assuming that you had a prior Rhinoplasty. There are several techniques to "derotate the tip." This can include work through an incision placed within your nose to free the soft tissue and tip from the septum (using a transfixion incision), and using sutures to reduce the height and... more

A: Seek a second consultation or second opinion

By Shepherd Pryor, MD - Phoenix Facial Plastic Surgeon

I am interested to know if you have had a rhinoplasty in the past? If the overrotation you are experiencing has occurred from a previous rhinoplasty then I would recommend caution and engage the services of someone comfortable with revisional work. Certainly more photos would provide a clearer picture. But... more

A: Meet with your Surgeon again

By Kamran Jafri, MD - New York City Facial Plastic Surgeon

Hello ajl, Very good advice given to you here. I agree that it is difficult to give comprehensive advice to you without additional photos or a chance to exam your nose in person. I also agree that in most cases downward rotation of the nasal tip is best accomplished by removing cartilage from the nasal septum... more

A: That could result in a problem for you.

By Toby G. Mayer, MD - Beverly Hills Facial Plastic Surgeon

The photo is with your head down and no front view is shown. It appears that you have a thin skin already up-turned nose. Often when unskilled surgeons "narrow the tip" in the front view, the nose turns up more and would create a surgical appearance which would be worse than what you started with. Discuss this... more

A: Dropping the nasal tip

By Richard W. Westreich, MD - Manhattan Facial Plastic Surgeon

Without all photographic views, including the base view (the one from below the nose looking up at the nostrils) I can not give you a specific plan to accomplish your goals. However, several options are present to derotate or drop your tip. 1) shaving the bottom of the septum can sometimes allow the tip to... more

A: Need more photos

By Richard P. Rand, MD - Seattle Plastic Surgeon

It isn't entirely clear from the one photo you have exactly why you are doing anything at all to your nose. It would help all to see a true side view of you from both sides.