Can a rhinoplasty bring a nose back downwards / undo an upturn that is due to DJS? (Photo)

Hello and thank you for your question. It is possible to derotate the Tip by placing extended spreader grafts. after your jaw surgery when you have a Rhinoplasty performed. With good surgical technique, you could have an outstanding result. I recommend that you seek consultation with a qualified board-certified rhinoplasty surgeon who can evaluate you in person.

Best wishes and good luck.

Richard G. Reish, M.D.
Harvard-trained plastic surgeon

He have not seen people who are so dissatisfied with their noses after maxillary advancement surgery, that they subsequently wish to have rhinoplasty surgery. A frank discussion with your surgeon may be helpful as well. Wishing you well. Sincerely, Dr Joseph

Yes, a rhinoplasty can change the angle of the nose. I would recommend you undergo the jaw surgery first and see how things heal and then consider what needs to be done next.

Hi,The two most common issues concerning the nose after the maxillary advancement of DJS are upward rotation and widening of the nasal base. It is important to be aware of these changes, however we cannot predict the exact degree of change. There are many other changes that come with this surgey. It is important to be aware of these changes as that will help you (mentally) during the recovery process, but it is also important to be patient. It takes at least 1 year, sometimes even a few years for some of the areas to settle, for the muscles to get used to their new (subtle) changes in movement. Rhinoplasty can correct the rotation and widening. Your surgeon may even try to place a cinching suture under the nasal base to limit the widening.... BUT these should not be done for at least 1 year, maybe longer depending on degree of movement and healing process. Make sure to choose a surgeon that does these often and can help counsel you on what to expect. Good luck!

It sounds like you are worrying about problems that currently do not exist. Try to focus on one step at a time.
If you need the facial surgery then you need that surgery. If it happens to cause so undesirable side effect that are correctable the worry about those when that problem arises. Right now you don’t have issues with your nostrils and you don’t really know how your procedure is going to affect your nose.
If It becomes a problem then and only then should you engage in addressing it.
I think you have enough on your plate with your upcoming procedure as it is.
From what it sounds like you are worrying about potential future problem you don’t even know if you will have.
Do you know the serenity prayer?
I find saying that to myself to be helpful when I have things that seem overwhelming.
Maybe it can help you as well.
Best,
Mats Hagström MD