Rhinoplasty: Cost, Pics, Reviews, Q&A

There are a number of different techniques to fix an upturned nose.

It would be very difficult to describe exactly how the different procedures are done, but I use an open rhinoplasty approach to allow the tip of the nose to be derotated so that the nose is a bit longer and the nostrils are less visible. (Jonathan Pontell, MD, FACS, Philadelphia Facial Plastic Surgeon)

Fixing an Upturned Nose

Fixing an upturned nose requires advanced rhinoplasty techniques to improve the overall appearance of the nose. While there are some limited applications of nonsurgical rhinoplasty, this is definitely not one.

Seek a surgeon with experience in revision rhinoplasty who will work with you on creating a nose image which works with your facial features. (Anil R. Shah, MD, Chicago Facial Plastic Surgeon)

Surgery for an upturned nose

There are no nonsurgical methods to fully address an overly upturned nose. There are surgical techniques available to improve your problem, though.

To decrease how upturned your tip is (decrease tip rotation) your nose must be lengthened which is often done using grafts.

This can take the form of cartilage grafting (septum, ear, or rib cartilage) to push your tip down and bring your nose into a more natural-appearing alignment.

An over-rotated nose can occur naturally or as a results of overly aggressive reductive rhinoplasty.

Fix an upturned nose rhinoplasty surgery

Correcting a post-surgical overly upturned nose is made more difficult by the scarring of the overlying skin which impedes movement of the tip downward. Structural cartilage grafting techniques will allow your surgeon to counteract these forces and maintain the new tip position. (Thomas A. Lamperti, MD, Seattle Facial Plastic Surgeon)

Over rotated Tip concerns

What you are describing is over rotation of the tip in the only correction for this is with nasal surgery. Fortunately, this can be addressed using common rhinoplasty tip technique.

Sometimes an overly rotated tip and a low bridge may require nasal lengthening techniques such as extended spreader grafts or septal extension grafts. (Edward S. Kwak, MD, Manhattan Facial Plastic Surgeon)

Rhinoplasty for Upturned Nose

How to fix an upturned nose nose job

Rhinoplasty is appropriate for an upturned nose. This correction requires a highly proficient surgeon as the technique is more challenging. Frequently, grafts are necessary and will usually come from the inside the nose (septum) or possibly ear and rib sources.

It is also possible to use implant materials to assist in this type of rhinoplasty but I prefer to avoid them because of higher rates of complication. (Louis W. Apostolakis, MD, Austin Facial Plastic Surgeon)

An Upturned Nose Can Be Fixed

How to fix an upturned nose with rhinoplasty

An upturned nose can be fixed with a surgical procedure (Rhinoplasty) to reshape the nose. There is no practical way to accomplish this with non-surgical techniques like injectables. (Paul C. Zwiebel, MD, Denver Plastic Surgeon)

A upturned nose can be fixed with rhinoplasty

An upturned nose is a frequent complaint. This is fixable with a rhinoplasty, but cannot be fixed without a surgical procedure. The causes of an upturned nose likely include lack of dorsal volume, a shortened septum, and possibly a shorten lateral crural segment to the lower lateral cartilages. All of these issues should be evaluated carefully during your consultation to come up with a comprehensive game plan to surgery. (Raghu Athre, MD, Houston Facial Plastic Surgeon)

Improving an upturned tip during nose surgery – rhinoplasty

There are many ways to reposition the angle of the nose, depending on whether or not you have had previous surgery and the amount of cartilaginous support in your nasal tip.

This is a very common problem and there are many ways to improve an upturned tip. (Raffy Karamanoukian, MD, FACS, Los Angeles Plastic Surgeon)

How to fix an over-rotated nose.

You are likely going to need surgery. But there are many techniques available to help. De rotating a nasal tip is more complicated than a reduction Rhinoplasty.

You are likely going to need tissue placed into the nose. Cartilage most likely. (Oakley Smith, MD, Toronto Facial Plastic Surgeon)

Correcting and over rotated nasal tip

Rhinoplasty is a popular and effective surgery to recontour the shape of your nose. During the surgery, there are many different techniques that a plastic surgeon can perform to bring down the rotation of your tip.

They may choose to remove a small portion of cartilage, reposition the height of your nasal tip, or adjust the height of the nasal dorsum. Your best bet is to work with a board-certified plastic surgeon who has a great deal of experience in rhinoplasty and in using techniques such as cartilage grafts, and a variety of suturing techniques.

They will be able to carefully examine you and determine which combination of procedures will help you meet your aesthetic goals. (Pat Pazmino, MD, Miami Plastic Surgeon)

Rhinoplasty for Upturned/Over-rotated Nose

Unfortunately, it is likely that you will need a surgical procedure to address the position of the tip. When you have excess visibility of the nostrils from the front view, it is usually a sign that the nasal tip is overly rotated or turned up excessively. In order to correct this problem the tip cartilage has to be brought down and the only reliable method of accomplishing this involves a surgical procedure.

This is called counter-rotating or lengthening of the nasal tip. This is one of the more complicated and challenging maneuvers to perform in rhinoplasty and should only be attempted by someone versed in complex rhinoplasty cases. Although injectable fillers do have a role in nasal contouring, they clearly are not the answer for this type of problem. In addition to counter rotating the tip down, it sounds like you might need to have augmentation of your bridge as well. If your bridge is indeed scooped out, you will probably need to have it built back up, or augmented, to restore a more normal, natural looking contour. (John M. Hilinski, MD, San Diego Facial Plastic Surgeon)