How to make sure I don’t end up with a more upturned, pinched nose?

Hello, and thank you for your question and photos. You should be a good candidate for a rhinoplasty and you will have a nice result. Educate yourself in how the procedure works by reviewing actual before and after photos. Try not to be influenced by celebrity photos. Many of those are "digitally enhanced". Find at least two board certified Plastic Surgeons with experience in rhinoplasty and see what they have to say. Best of luck.

A structural rhinoplasty with grafting by an experienced rhinoplasty expert should be able to accomplish your goals. Select your surgeon based on their work and judge them by their previous results more than what they tell you during your consultation or what they show you on computer imaging. Although computer imaging is a helpful communication tool, it’s not reflective of surgeon skill. What you ask for should be relatively standard for a surgeon who performs structural rhinoplasty with cartilage grafting.

Best wishes,
Thomas Walker, MD, FACS

Hello, the only way to guarantee that is too make a good research on your surgeon and have good communication with your surgeon. You can have more detailed information and ask questions about your case to my assistant from the number at my profile. You can also book an online consultation and discuss your issues with me. Best regards.