Revision Rhinoplasty for Severely Overturned Nose? (photo)

Yes, it is possible to improve your tip position and upturned appearance. This is complex surgery so you want to make sure your surgeon has experience treating this type of problem.

Cartilage grafting is typically required to reposition and stabilize the nose during surgery.

You can read more about upturned nose correction at my web reference link below.

Your nose can certainly be improved with a revision procedure.  The tip of your nose has been significantly over-rotated (pushed up), and so a septal extension graft will likely be needed to push it back down to a more attractive position.  By pushing the tip of your nose down (counterrotation), it will reduce the prominence of your nostrils from the front.  Based on your pictures, you will need quite a bit of cartilage to reconstruct your nose, so rib cartilage harvest is likely necessary.  For an experienced revision rhinoplasty surgeon your case is commonly encountered.  

Improvements can be made with a revision rhinoplasty. Grafts can be used to improve the appearance of your nose, and it would be best to seek the advice of a board certified revision rhinoplasty specialist. He or she may use computer imaging software to give you an idea of how the final result may appear. Cost of a revision can vary depending on the individual circumstances of the patient. Look for a board certified surgeon who has great patient testimonials and many before and after photos, I hope this helps, and best of luck to you. 

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.