How Can I Fix my Turned Up Nose?

A short and overly upturned nose can give an unnatural appearance to the nose. Short noses typically have too wide of an angle between the nose and the upper lip. In an ideal nose, this angle (called the nasolabial angle) is in the range of 95- 105 degrees for women and 90-95 degrees for men. Correction of a short and upturned nose typically requires changing the framework of the nose to make the nose appear longer. The intended result is a nose that is more harmonious with the rest of the face and has a natural and aesthetically pleasing angulation.
This young woman felt that her nose was too upturned and wanted a more natural and softer appearance. After rhinoplasty surgery the tip of the nose is not lifted up as much and appears less prominent and more feminine in appearance. Less of her nostril is visible.
http://www.seattleface.com/html/before_n_after_set.php?procedure=primary_rhinoplasty&id=16
Here is another example of an overly turned up nose with excessive show of nostrils that was improved with a primary rhinoplasty:
http://www.seattleface.com/html/before_n_after_set.php?procedure=primary_rhinoplasty&id=14

A bulbous, globular and ill-defined tip, as well as a tip that plungesupon smiling, are concerns I commonly address in my NYC office. Rhinoplasty cancorrect these aesthetic concerns and provide you with a more detailed, naturalresult. Yet just as a bulbous tip is disharmonious with the face, a tip that istoo skeletonized is likewise undesirable. The goal is to produce a tip that isproportionate with the rest of your face, showing off your best features. It isimperative to do your research when considering a rhinoplasty procedure. Anin-person evaluation with a board certified, skilled plastic surgeon withexperience in rhinoplasty is crucial.

Correction of the turned up nose is one of the more difficult challenges seen in rhinoplasty surgery. The problem occurs because the nasal tip is rotated in an upward direction. This ultimately increases the angle between the lip and the nostril which leads to increased exposure of the nostrils.
                Correction of this problem involves decreasing the angle between the nose and lip. This is accomplished with a variety of maneuvers that are designed to lengthen the nose. In most cases this involves some type of cartilage grafting. The exact procedure chosen will depend upon the patients specific anatomic findings.

                If you’re considering correction of your turned up nose, consultation with a board certified plastic surgeon is appropriate. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals. 

From the description, it sounds like the best option to correct these issues is rhinoplasty.  This can be accomplished by counter-rotating the tip so that the nostrils do not show as much on frontal view.  If your bridge (dorsum) is overly sloped, augmenting this area also may be necessary.  A detailed exam would be necessary to formulate a plain specifically for your anatomy, but it would generally involve cartilage grafting and suture techniques.  Fillers are not a good long term solution to this problem.  See a rhinoplasty specialist who can evaluate your anatomy and go over photo simulations to make sure you have the same shared goal in mind.

The situation is a little more challenging than the standard rhinoplasty with a dorsal hump. If you have never had rhinoplasty then this is probably due to a congenital short nose. Cartilage grafts can be used to lengthen the nose or just the tip if that is all that is needed. The cartridge can be harvested from the septum which is the dividing wall between the nostrils. This may be a situation where a closed rhinoplasty is better since the placement of the grafts places tension on the skin of the nasal tip. This would place tension on the suture line in the open technique. A careful assessment by an experienced rhinoplasty surgeon is essential in order to get the best advice. Photographs would be helpful.

There are a number of different techniques to fix an upturned nose.  It would be very difficult to describe exactly how the different procedures are done, but I use an open rhinoplasty approach to allow the tip of the nose to be derotated so that the nose is a bit longer and the nostrils are less visible.