Over rotated tip, wider nose - can anything be done to fix this? (Photos)

Question

Hi Drs. I had a rhinoplasty years ago where the nose was left upturned and flatter as well, resulting in a upwards, wider, but smaller appearance. However when I pull down the top of my nose downwards and slightly outwards, the contouring appears much better giving a thinner and longer looking nose. I know filler can be applied to slim the appearence of flatter noses by adding thin volume to the bridge, but can anything be done about the overrorated part? Thank you!

Anna Chacon, MD, FAAD · Answer

It's important to consult with a board-certified facial plastic surgeon or rhinoplasty specialist to assess your specific situation and discuss potential options. Here are some general considerations that might be discussed during a consultation:

Revision Rhinoplasty: This surgical option can address both the over-rotated tip and the overall shape of the nose. A skilled surgeon can adjust the nasal tip position and refine the nasal bridge to achieve a more balanced appearance.

Cartilage Grafts: In some cases, cartilage grafts can be used to support and reposition the nasal tip, providing a more natural contour.

Non-Surgical Options: While fillers can help in certain cases by adding volume to specific areas, they may not be sufficient to correct an over-rotated tip. However, they can be used to improve the overall contour temporarily.

Consultation and Imaging: During a consultation, the surgeon may use imaging software to show potential outcomes and discuss the best approach tailored to your needs.

It's crucial to have a thorough discussion with a qualified professional to understand the risks, benefits, and expected outcomes of any procedure.

Eric M. Joseph, MD · Answer

In general, fillers are not the best way to de-rotate somebody's nasal tip. That said, you may have a better answer if you re-ask your question with photographs that display your concern, and what you are looking to achieve. Thank you. Sincerely, Dr Joseph

Andrew Miller, MD · Answer

A graft can be added to bring up the bridge, which will make it look thinner. If your nose used to be lower, some things can be done to decrease the over rotation. It is more difficult to do, but if the surgeon is highly experienced in rhinoplasty, a nice improvement is usually made.

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