Can this degree of over rotation be corrected? (Photos)

I do believe that successful revision surgery is possible, however, the expertise of your surgeon would be paramount. You would likely require a septal extension graft, and extended spreader grafts, to lower the tip of your nose, and to create a longer nasal appearance. Please consider meeting with several reputable rhinoplasty specialists who have performed similar operations, so you could see what to expect moving forward.

Additionally, I believe you do have a permanent non-surgical approach, if you desire, that would be aimed at lowering your nostril margins on front view for less nostril show, and improved nostril symmetry. Depending on your examination, microdroplet Silikon-1000 nasal injections may be considered for lowering your nostril margins, decreasing nostril show, and for achieving several millimeters of nasal tip derotation. I hope this helps! Sincerely, Dr Joseph

The nasal columella angle is over 110 degrees, which is beyond what is desirable for a woman. This will be corrected by using septal extension grafts and can be harvested by using your own septum or cadaver donor. This is done on both sides of the septum, will lengthen the nose and correct the over rotation. This will take 2 hours to perform under general anesthesia and costs $8,000.

Best Wishes,

Gary Horndeski, M.D.

A nose that has been upturned during rhinoplasty has a better chance of being derotated. If this is your natural nose without any surgery it can be harder because your skin envelope is small. That being said, there are some things to do to lengthen your nose and derotate it some. It may not be chiseled in the end, but should have less nostril show. Be sure to see a rhinoplasty expert for consultation.