How can I fix my nose tip? I want to derotate and get my "downturn" back (Photo)

Question

How can I fix this tip? I wanna derotate and and get my "downturn" back. I'm so sick and tired of doctors giving everyone this kind of nose. Where are the ethnic revision specialists? I pray I can find someone who understands ethnic beauty standards. It doesn't look like it in the pic but I now have an upturned piggy pointy nose with a flat columella

Steven M. Denenberg, MD · Answer

The tip of your nose is very strong in its forward projection away from your face. We call that a "projecting" tip, and the process of correcting it is to "deproject" the tip. In any nose, primary or revision, when the tip is deprojected, when it comes closer to the face, it makes the nose *look* as if it's longer, as if the tip had dropped. To my eye, the angle between your upper lip and the bottom of your nose isn't sky high, but rather it looks that way because the tip is so far out away from the face. I'm thinking that if the tip were brought back closer to your face, the nose wouldn't look too short to you any more. It's possible to see that in morphs, too.

How *much* to deproject the nose, or make other changes? We figure that out with morphs, well before surgery. I'd love for you to see some excellent professionally-designed morphs of what could possibly be done with your nose. Morphs could also help you identify better just what's bothering you, and help you set a goal for the rhinoplasty that's accurate for your tastes. Profile and three-quarter views would be particularly important in morphing your nose. (Side note: in my opinion, morphs should really be done by the surgeon, or he should direct an assistant as she makes the morphs. Morphs should be made with a constant eye to what actually *can* be done in surgery, for that particular nose, and the surgeon has that information and judgment best.)

Finally, remember that rhinoplasty is an exquisitely difficult operation to get right, and you should only have surgery if you are able to make yourself very confident in your surgeon's skills. The changes that your nose needs --particulary the strong deprojection -- require advanced techniques, and skill that most plastic surgeons don't possess with expertise. For most noses, it's much better to not have surgery than to have inexpertly-performed surgery. Read my essay on how to stay out of trouble while selecting a rhinoplasty surgeon. And it also discusses how to take photos that are best for online evaluations.

And for those who have had previous surgery, it also discusses how to tell whether your first surgeon should be performing your revision.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question!As far as I can see from your photo your nose is too long. You need more natural defined nose. For gain more natural and elegant nose I recommend you revision rhinoplasty surgery. Best Regards!

William Portuese, MD · Answer

Much more information is needed, such as a full set of facial photographs from all angles that are in focus, in addition to a copy of the operative report to find out what was accomplished in the first procedure. It's important to wait at least one year before embarking on another procedure.

Kailash Narasimhan, MD · Answer

Revision may involve cartilage grafting to achieve your goals. An in person exam would be necessary to examine the quality of your skin, cartilage and bone structure. In my practice 50% of my patients are considered ethnic from a variety of cultural backgrounds. Good luck!

How can I fix my nose tip? I want to derotate and get my "downturn" back (Photo)

Answers (4)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

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Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.

How can I fix my nose tip? I want to derotate and get my "downturn" back (Photo)

Answers (4)

Answer: Revision Rhinoplasty

Answer: Revision Rhinoplasty

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Recommended reading

Everything you need to know about Revision Rhinoplasty

Our mission is to create a world where every investment in modern beauty is Worth It.