Upturned Nose; is Easier Fix Up Nostrils or Tip (2 Mm Lower in Both Cases)?

It has been 6 months since my rhinoplasty and my tip is upturned (because of excesive septum removing) and so nostrils are more visible and inverted "V". I want to fix this problem and I'd settle just having nostrils less visible are more rounded, so i wonder wich one of this procedures is easier. Is possible to perform any of this procedures without adding grafts (for ex. rim grafts) and just low or reposition tip/alar catilage and suture? Any other procedure maybe? Thanks!

Doctor Answers 3

Revision rhinoplasty for up turned nose

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 Without pictures it's impossible given the opinion on what the presenting problem is.  Best to wait at least a year before undergoing any revision rhinoplasty. Composite skin grafts are used on the inside of the nostrils to bring down alar notching. Trimming back the membranous and caudal septum  will fix columellar show. Inverted V. deformity will need to be addressed with a combination of spreader grafts to the upper lateral cartilages and sometimes osteotomies.  See the link below to our rhinoplasty photo  gallery

Difficult to fix a short nose

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Hello! It sounds like your nose is over-rotated and with possible notching of the "soft triangle". Both of these problems require cartilage to fix correctly. Length of the nose is related to rotation, or the angle off the lip, and you likely need more nasal length as well as some grafting of the rims. Repositioning the cartilage, if it is over-resected, will cause issues in other areas of the nose. This is difficult to perform and I would recommend you consult with facial plastic surgeons experienced in revision rhinoplasty to get some recommendations. Good luck!

Catherine Winslow, MD
Indianapolis Facial Plastic Surgeon
4.7 out of 5 stars 42 reviews

Upturned nose

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Without an exam in person it is very difficult to assess what you look like or what can be done for you.

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