How can the nose be made thinner without any upwards rotation?

Which techniques? Absolutely no rotation or preferably derotation.

Doctor Answers 10

How can the nose be made thinner without any upwards rotation?

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A nose can be made thinner by moving the bones in at the upper half of the nose. The cartilage can be contoured to be less wide and bulbous. The base can also be made less wide.

San Francisco Plastic Surgeon

Thinner Nose is Possible!

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The nose can be made thinner without upward rotation. The surgeon would simply narrow the bones and narrow the tip. The techniques that are used for this do not require any upward rotation of the nose.

Go for it!

George Sanders, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 12 reviews

Tip surgery for a thinner tip without superior rotation?

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 Tip surgery for a thinner tip without superior rotation?  very good question. Tip can be thinned by removing soft tissue and thinning but not removing pieces of cartilage. Alar grafts can be used and septal extension grafts as well. See a very experienced revision rhinoplasty surgeon who is familiar with numerous techniques  and can show you examples of this that he has done. 

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon
4.8 out of 5 stars 36 reviews

Thinning the nose without changing the rotation in rhinoplasty

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Dear labrador90210,

  • The nose can be thinned and the tip rotation left alone because they are 2 separate parts of the rhinoplasty
  • In your consultation we can go over anatomy to show you how this is done
  • When you are ready, please see a rhinoplasty specialist who can address your concerns


Dr. Nima

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 80 reviews


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Thinning the bridge and the tip can be done without rotating the nose upwards.  If the end of the septum is left inplace, then changing the angle is unlikely.  Various graft techniques and how the lower lateral cartilages are handled will minimize any chance of rotation or ala (nostril rim) elevation.  Seek out a consult from an experience Board-Certified surgeon.  Best wishes. 

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.7 out of 5 stars 16 reviews

Preservation of Tip Position

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Reliable techniques like caudal septal extension grafts, extended spreader grafts, tip grafts, and careful suture placement for tip cartilage modification will give you either no rotation or de-rotation and/or increased projection. Best of luck!

Thinning the nose without shortening?

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Suture technique to narrow the tip with minimal cartilage resection can be used to narrow your tip and avoid upward rotation.  If your bridge needs narrowing, this should not cause shortening.  If necessary, septal extension grafts can derotate your tip.  Meet with an expert rhinoplasty surgeon to discuss your options. Regards,

Jon A. Perlman, M.D., FACS

Certified, Am. Bd. of Plastic Surgery

Member, Am Society for Aesthetic Plastic Surgery

Jon A. Perlman, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 31 reviews


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Thank you for the question and the simple answer is YES.  So go on some complimentary consultations become informed how, compare photos and fees and select your surgeon

Dr Corbin

Rhinoplasty without rotation

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A full set of facial photographs are required to make a determination about a difficult surgical procedure such as a rhinoplasty.  A closed rhinoplasty approach can accomplish shaving down the cartilaginous and  bony dorsal hump, osteotomies are performed to narrow the nasal bones, and a tip-plasty is performed to narrow the nasal tip cartilages with all the incisions placed on the inside of the nose. Additional techniques can accomplish rotation of the nose, or de-rotation of the nose, depending upon the patient's desires and the presenting anatomy. Rhinoplasty is a very difficult endeavor, so choose your surgeon very wisely based on extensive experience with the procedure. For many examples and more information, please see the video and the link below

How can the nose be made thinner without any upwards rotation?

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Thank you for your question.  I have taught many surgeons on various rhinoplasty applications.  To answer your question fully would require a complete evaluation of your anatomy and breathing.  I say this because rhinoplasty surgery should balance form and function!  Thinning of the nose can be done with some removal of tissue, breaking the bones and moving them inwards, or even giving the illusion of a more narrow nose by adjusting the dorsum (top) of the nose, as examples of procedures.  There are many risks of just narrowing the nose without protecting or improving your breathing through techniques such as spreader flaps or spreader grafts.  The tip do not need to be rotated up with rhinoplasty, but the combination of thinner with no tip rotation should only be attempted by experienced rhinoplasty surgeons.  Wish you all the best.

Garrett A. Wirth, MD, MS, FACS

Wirth Plastic Surgery

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.