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

This is one of the most difficult problems to address in rhinoplasty surgery. The techniques differ depending on your anatomy, but involve an open rhinoplasty where the length of the nose is lengthened using spreader extension grafts. Sometimes it is necessary to get a piece of rib to place on the top of the nose and address the concavity as well. Sometimes additional work is needed for the nostrils, such as extended alar contour grafts. These are all tricky maneuvers and are very hard to execute perfectly.
-Dr. David Mattos, New York Plastic Surgical Group

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.