Revision Rhinoplasty for Severely Overturned Nose? (photo)

This can be correct, but it will require extensive grafting.  Typically, this will require cartilage grafts from your ear or rib to lengthen and de-rotate your nose.  Your surgeon should be experienced in revision rhinoplasty surgery.   You will need to spend a significant amount of time reviewing your expectations against possible surgical outcomes.  Good luck with your search.

Hello,


   Thank you for providing photographs with your question.  It makes having a meaningful discussion about your concerns a little more realistic. 

   Scooped bridges, over-rated and pinched nasal tips were much more common 15 years ago then they are today.  Rhinoplasty techniques have evolved and I like to believe that most surgeons currently performing this procedure recognize that smaller is not always better. 

   For many people with over-rated nasal tips they can frequently find significant improvement with revision rhinoplasty.   That being said, lengthening a foreshortened nose is one of the most challenging components of revision rhinoplasty.  It almost always requires the use of rib cartilage to create a number of grafts to rebuild your nose. 

  Improving the rotation of the tip of your nose,  the hanging columella and the visible nostril show on front view can all be achieved with revision rhinoplasty.  These are advanced techniques and I would recommend meeting a surgeon  that specializes in noses and has a large volume of revision rhinoplasty.  During a consultation your surgeon can assess the tightness of your nasal skin which is commonly the rate limiting factor to how much length and rotation can be achieved. 


Hope this helps.