Pixie Nose Shape Require a Rhinoplasty Specialist?

 An experienced rhinoplasty surgeon who was performed thousands of nasal surgeries should be able to deal with your unique shape nose with confidence. Look for surgeon who has  dedicated  a large part of their practice to the discipline of rhinoplasty, for best results. For many examples of rhinoplasty, please see the link below

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.