Can I get a more upturned nose without implants or grafts? (Photo)

The
nasal areas that you described and would like improved can be addressed with an
artistically performed nasal surgery (rhinoplasty). Yes, the septal cartilage can be used.
Keep
in mind that following the advice from a surgeon on this or any other website
who proposes to tell you exactly what to do and technically how to do it based on  limited  photos without examining you, physically feeling the tissue, assessing
your desired outcome, taking a full medical history, and discussing the pros
and cons of each operative procedure would not be in your best interest. I
would suggest you find a plastic surgeon certified by the American Board of
Plastic Surgery and ideally a member of the American Society for Aesthetic
Plastic Surgery (ASAPS) or facial plastic surgeon that you trust and are
comfortable with. You should discuss your concerns with that surgeon in person.
Robert
Singer, MD  FACS
La
Jolla, California

If you like the way your nose looks when pinch the sides, there is actually a quite simple procedure for that.  It’s called an alar wedge excisions.  You can google it and see many examples.  It works great, is simple and can be done under local anesthesia.  Even better, it costs much less. No grafts needed.  I do them frequently but many surgeons over look this procedure for more involved ones.  I don’t think you need cartilage grafts at all.

Hello and thank you for your question. I never recommend using an implant such as a silicone implant for rhinoplasty.  All your cartilage grafts can come from your own septum.  Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and not just a computer animation system.  You should be able to view numerous pictures of actual patients with noses similar to yours performed by your surgeon.  If you cannot find enough real before and after pictures, then consider continuing your search for a surgeon.

Best wishes and good luck.


Richard G. Reish, M.D. FACS

Harvard-trained plastic surgeon