Can an Upturned Nose Be Corrected?

Your posted photos show an upturned nose with completely visible nostrils on a front view and a nose to upper lip (nasolabial) angle of about 125 degrees. The preferred angle in a male is 90 degrees. I suspect you will need a cartilage graft extending from the septum down between the right and left tip cartilages. The degrees of rotation can then be controlled by the way the cartilages are sutured together. You may also need removal of the nasal spine and reshaping of the bottom of the septal cartilage to achieve the desired result. In my opinion that would have to be an open rhinoplasty for the results to be reliable. I think you should be able to get close to the desired 90 degrees with this methodology.

The main question would be where do you get enough cartilage with sufficient strength to do the job and you need to discuss that with your surgeon.

Your nose to forehead (nasofrontal) angle cannot be assessed from your posted photos.

I hope you realize that this format of posting questions and receiving answers lacks the face to face direct communication required for you to make an informed decision regarding your surgery.

My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Rhinoplasty for the male upturned, short nose is done by extending the length of the nose with grafts of both cartilage and skin. This is similar to the procedure that we do for revisions that essentially have a short nose like yours. You can see photos of this procedure on our website. Make sure you see an experienced revision rhinoplasty surgeon since this is not a beginner procedure.

It is possible to correct an upturned nose with several different maneuvers.  Trimming the inferior most portion of the columella to decrease the columellar show and a portion of the nasal spine will drop the projection and the nasolabial angle.  A small wafer of cartilage at the nasal frontal angle may also help derotate the tip.  It would be impossible to give more projection to this nose as in attempting to do so, it would rotate the nose higher than it already is.  The average cost of a rhinoplasty is approximately $7000, which includes the operating room, anesthesia, and the surgeon’s fee for performing the procedure.