What is the best way to make my nose less upturned? (photo)

Question

I like the shape of my nose, but the only thing bothering me is that it is too upturned. I have been very self conscious about it. I don't mind it being slightly upturned, but I don't want it ridiculously upturned. Would rhinoplasty be the best way to go? I don't want my nose shape to change too much. I just want it to be less upturned.

Donald Groves, MD · Answer

Hello, and thank you for your question. You have a complex issue that requires expert-level correction. An over-rotated, and possibly over-projected tip can only be properly addressed through rhinoplasty—fillers simply don’t have the structural strength to achieve the necessary changes.

To correct this, your nose will need to be lengthened, rotated, and potentially deprojected, all with extreme precision. This involves harvesting septal cartilage (or a specialized alternative) to create custom grafts that reinforce the nasal tip and columella, ensuring both stability and long-term support. Without these techniques, results may be unpredictable or short-lived.

Since rhinoplasty is one of the most technically demanding surgeries in all of plastic surgery, you should ONLY trust an experienced rhinoplasty specialist. Many plastic surgeons perform rhinoplasty occasionally—but this is a surgery of millimeters, where small miscalculations can have significant consequences. A surgeon who performs only a handful of these a year simply won’t deliver the best possible result.

I have extensive training in advanced rhinoplasty techniques, including complex primary and revision cases, under one of the world's top rhinoplasty surgeons (who performs 1,000+ nose jobs annually). If you're serious about achieving a refined, natural-looking outcome, I’d highly recommend scheduling a consultation with me (Virtual or In-Person). This will allow us to discuss your goals, conduct a detailed examination, and determine the ideal approach for your unique anatomy.

Looking forward to helping you achieve the results you’re looking for!

Dr. Donald Groves
Aesthetic Plastic Surgeon

John Michael Thomassen, MD · Answer

Yes, you best option is a rhinoplasty to derotate your nose.  Computer imaging can be very helpful to determine what surgical maneuvers would be best for you.

Jason Emer, MD · Answer

I recommend getting a formal evaluation with a cosmetic dermatologist to go over your desired results. Facial fillers (like Voluma, Restylane, Juvederm) can be used to improve the symmetry of the nose, but surgery would be needed to improve nostrils or overall shape. Best to see an expert. - Dr. Emer

Andrew Miller, MD · Answer

Lowering the tip is never an easy task. It can be done by lengthening the cartilage to derotate the nose. The best thing to do is to start with a consultation with a surgeon that provides computer imaging of the nose. That way, both of you can see how your nose may look and the best plan can be determined.

Toby Mayer, MD · Answer

Derotation and lengthening of the short nose. I need a full set of nasal photos. In general, this requires a septal extension grafts and possible composite grafts etc. See a VERY experienced revision rhinoplasty surgeon for this.

What is the best way to make my nose less upturned? (photo)

Answers (9)

Answer: Rhinoplasty to lower tip...

Answer: Rhinoplasty to lower tip...

Answer: Derotation and lengthening of the short nose.

Answer: Derotation and lengthening of the short nose.

Recommended reading

Everything you need to know about Nonsurgical Nose Job

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What is the best way to make my nose less upturned? (photo)

Answers (9)

Answer: Rhinoplasty to lower tip...

Answer: Rhinoplasty to lower tip...

Answer: Derotation and lengthening of the short nose.

Answer: Derotation and lengthening of the short nose.

Browse related questions

Recommended reading

Everything you need to know about Nonsurgical Nose Job

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