Upturned Nose and No Prior Rhinoplasty - can this be fixed? (photos)

Question

Hello, I am very insecure of my short super upturned nose. My nose is very short and extremely upturned as you may see in the photos. My tip is non-defined and over all I hate my nose. Can my nose be fixed? What type of nose would be achievable? If possible could you guys leave examples of what my after could look like?

Zoran Potparic, MD · Answer

Short nose, like in your case, is one of the most difficult problems in rhinoplasty. Very complex surgery, including use of multiple cartilage grafts to lengthen the nose, elevate the dorsum, refine the tip, is needed to achieve desired result; on top of that, and most important, an excellent rhinoplasty surgeon, board certified plastic or ENT surgeon. In person consultation is recommended as a first step. Good luck.

Man Koon Suh, MD · Answer

Short nose correction is not an easy operation, but good enough results can be obtained. The most common corrective surgery is a septal extension graft using septal cartilage, but if in a small nose like yours, this may not be effective as the septal cartilage is likely to be small. In that case, it is necessary to use rib cartilage, but if you want a smaller operation, correction using ear cartilage is also possible. This surgical method using ear cartilage is less invasive and very good results can be expected, and the most important advantage of this technique is: the tip of the nose is not rigid/fixed, it can be movable.You can see some examples through my rhinoplasty book.

Ronald Schuster, MD · Answer

Noses come in all different shapes and sizes. That’s what I love about rhinoplasty. There are procedures designed to correct various problems that patients don’t like. In these photos the tip is short and over rotated. But also the dorsal is probably a bit low. This can all be improved but will take cartilage grafting to add support to move the tip downward and build up the dorsum. There probably is not enough septum available in such a short nose. In these cases the cartilage can be taken from the ear or rib. Good luck.

Noah B. Sands, MD · Answer

Hello -It is possible to extend the length of the nose and counter-rotate the tip (bring it down closer to the lip).This is one of the harder goals to achieve during rhinoplasty, as it involves augmentation with cartilage (specifically extended spreader grafts), and the result largely depends on the 'elasticity' of the nose.In your case this would almost certainly require rib cartilage from your own rib, or from a cadaver.I hope this helps!My best,
Noah

Upturned Nose and No Prior Rhinoplasty - can this be fixed? (photos)

Answers (4)

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