Can my Upturned Nose Be Fixed? (photo)

Question

My nose is flat and very upturned and the tip is bigger than I would like. Is there a way to fix my upturned nose and narrow the tip?

Ronald J. Edelson, MD · Answer

Lengthening a nose that is too short is difficult and unpredictable. It often requires cartilage and mucosal grafting. I am assuming you have not had prior surgery. Dropping the tip of your nose is not something I would advise. The chances of success are small, I don't care what anyone else tells you. There are plenty of surgeons willing to give it a try whether they have done it before or not. Ask to see photos of similar cases before agreeing to the procedure.

Thomas A. Lamperti, MD · Answer

It is possible to bring down your tip so it isn't so upturned. This is a fairly complex maneuver so you want to make sure you find a surgeon who is comfortable with this type of treatment.

	You can find out what goes into fixing an over rotated nose at my web reference link below.

Toby Mayer, MD · Answer

Rhinoplasty for the short nose and bulbous tip is an advanced procedure and you need to see a very experienced rhinoplasty surgeon. Narrowing the tip causes increased rotation so the surgeon must know how to prevent this as well as lengthening the septum.

Nima Shemirani, MD · Answer

Dear k0617,

	
		Yes, rhinoplasty can be used to fix a short nose and it requires cartilage grafting
	
		This is not the easiest problem to correct, so make sure you see a rhinoplasty specialist
	
		At the same time, the tip can be refined as well


	Best regards,

	Nima Shemirani

Kenneth Hughes, MD · Answer

The tip can be narrowed, and the nose can be effectively lengthened. This can done with a variety of maneuvers in closed fashion. Find a plastic surgeon with ELITE credentials who performs hundreds of rhinoplasties and rhinoplasty revisions each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results. Kenneth Hughes, MD Los Angeles, CA

Ronald Schuster, MD · Answer

Yes, your tip can be lengthened and narrowed. it will require cartilage grafting to hold it in place. Usually the cartilage would come from your septum. The height of the bridge and tip itself actually look very nice. You should get a great result. Good luck.

Pablo Prichard, MD · Answer

Dear k0617,

	Thank you for your question and photos.  An upturned nose is about degree of rotation of the tip.  You tip is over-rotated a little.  I see this commonly in patients who have had a rhinoplasty that they would like revised because they feel like they have a 'piggy nose'.  This is from 'over rotation' of the tip.  In correcting this, the tip is then rotated back down to a more 'natural' position.  This can be done in your case as well, but needs to be done very carefully.  All aspects of the tip need to be addressed to look natural including the definition of the tip, and the columella show.  Sometimes a strut needs to be placed to be able to do this.  It is hard to know without a physical exam.  It is possible, but find a surgeon who has a lot of experience doing this to get the best result.

	Best Wishes,

	Pablo Prichard, MD

Jhonny Salomon, MD · Answer

Your upturned nose can be improved with a rhinoplasty that enlogates your nose by using your own septum cartilage, in addition the tip will be refined and the dorsum will be rebuild.

Steven Wallach, MD · Answer

It is quite possible to lower the upturned nose, but there definitely will be limitations in thinning the tip due to the thick skin envelope.

Shervin Naderi, MD, FACS · Answer

Hi

	Yes, but this is a complex type of Rhinoplasty and definitely not one that many plastic surgeons feel comfortable with or do on a regular basis or well.  

	To reduce the rotation or the upturned look of the tip, the tip must be PUSHED down with extended spreader grafts or a DART procedure or a caudal septal extension graft.  Alternatively in less severe cases infratip lobule cartilage grafts can do a nice job to lengthen the nose and make it look less upturned.  The size of the tip can be reduced at the same time.  You can read more on the link below:

Can my Upturned Nose Be Fixed? (photo)

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