Pixie Nose Shape Require a Rhinoplasty Specialist?

Hi,

From your description, it appears that you have a small and up-turned nose. This is consistent with a nose that is short in comparison to the rest of facial features.

You can have a good result if your surgeon is committed and patient. This is the type of operation that requires expertise and experience. Please make sure that your plastic surgeon is passionate about getting the best possible results and listens to your desires carefully and answers all your concerns.

Hope this was helpful.

Dr. Sajjadian

A pixie nose deformity is characterized by shortness of the
nose and an upward turned nasal tip. In
some situations, this may not represent a deformity because this type of nose
may fit nicely with the surrounding facial structures. In other cases, this deformity may require
surgical correction.There
aren’t rhinoplasty specialist who exclusively work with pixie nose
deformities. Surgical correction of this
problem requires a surgeon who has appropriate training and experience in
rhinoplasty surgery. It’s therefore
important to consult a specialist who has these credentials.

A smallish nose with upturned tip and a gently sloping dorsal aesthetic line is desirable - I'm not sure if your nose looks like this - but these are features of an attractive female nose. Without photos its impossible to make specific comments. Seek out a plastic surgeon in your area with rhinoplasty experience and get an informed opinion on your surgical options.

A small or "pixie" nose can certainly be reshaped, but a nose job isn't just a nose job -- particularly when the goal is to make the nose bigger. This type of rhinoplasty (sometimes called "augmentation rhinoplasty") can be quite complex and generally involves adding tissue.  Most often, this is from your septum, ear, or sometimes rib cartilage. I recommend seeing at least two or three different plastic surgeons. This will help you refine what you want, allow you to hear different philosophies, and select both an aesthetic and a doctor that you like. In addition, computer imaging can be a valuable tool in your discussions and will help you define what you do and do not like. Best of luck going forward!

Rhinoplasty surgeons don't usually sub specialize in only treating the upturned nose. If you are interested in improving this consulting with a few experienced rhinoplasty surgeons would be recommended.

Counter-rotating the nasal tip is challenging but certainly feasible. I find that this is less difficult in patients like yourself who haven't had prior surgery.

There is certainly a range of normal tip rotation (how upturned it is). Computer morphing of your nose would allow for a better discussion of your goals and how attainable they are given your anatomy and other facial features.

Choosing the right rhinoplasty surgeon is important.  I would focus on a surgeon who is a specialist in your ethnic characteristics and who can design a nasal surgery specific to your desires. 

Depending on where you live and the experience of the surgeons in your area you should visit with a few either Facial Plastic Surgeons Or Plastic Surgeons who specialize in nose surgery. A well trained surgeon who performs many nasal surgeries per year should be able to help you. If you can pick a surgeon who can image you on a computer, that might help you determine what you would like to have done.
Good luck

The description you are giving of your nose is "pixie", and "stuck up", conjuring up an image of a small nose with an upwardly rotated tip. I am assuming that the changes you would ike to have relate to a relative lengthening or de-rotation of the nasal tip. This is actually a very difficult result to achieve in Rhinoplasty, requiring cartilage extension grafts. This is not, "just a nose job" and requires a Surgeon very experienced in Rhinoplasty to address your concerns.

I would be curious to see what your nose looks like. I suspect you may have had an injury to your septum where it was fractured causing a short and over rotated nose. As some of the other answers suggest, a rhinoplasty is the most difficult and rewarding facial plastic surgical technique. The best chance of a great result is with the first surgery, so chose your surgeon carefully. After you have interviewed several you will figure out who is qualified and experienced. Good luck.

Hi,
I truly believe that rhinoplasty is one of the most complicated cosmetic operations we do. It is very important that you see someone who is experienced. This is especially true because when you have a "pixie" nose the operation to lengthen and de-rotate the nose is even more complex.
Make sure that the surgeons you interview do at least 50 of these operations a year. Furthermore, make sure that you see their before and after photos. Make sure you see examples of noses just like yours