Best Technique for Upturned Nose Rhinoplasty? NYC New York NY

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Best Technique for Upturned Nose Rhinoplasty?

I will be having Rhinoplasty done in December for my upturned nose. What technique do you think would be the best for my nose for a successful outcome? My surgeon said he would be removing some cartilage from the tip of my nose. What sort of result would I get with that? Please see my picture for your reference. Thank you to all who respond.

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8 Doctor Answers | Asked by ajl  in UK
Doctor Answers (8)
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+5
That could result in a problem for you.
The photo is with your head down and no front view is shown. It appears that you have a thin skin already up-turned nose. Often when unskilled surgeons "narrow the tip" in the front view, the nose turns up more and would create a surgical appearance which would be worse than what you started with. Discuss this risk with your doctor and seek a second opinion. Remember sometimes "perfection is the enemy of good".
 

Revision Rhinoplasty
I am assuming that you had a prior Rhinoplasty. There are several techniques to "derotate the tip." This can include work through an incision placed within your nose to free the soft tissue and tip from the septum (using a transfixion incision), and using sutures to reduce the height and length of the tip. Sometimes cartilage grafts can be inserted as what are called extended spreader grafts or tobaggon grafts to advance the nose. Sometimes, addding a graft at the base of the... more

+2
Seek a second consultation or second opinion
I am interested to know if you have had a rhinoplasty in the past? If the overrotation you are experiencing has occurred from a previous rhinoplasty then I would recommend caution and engage the services of someone comfortable with revisional work. Certainly more photos would provide a clearer picture. But regardless... Reduction rhinoplasty (removal of more cartilage) from the nasal tip is unlikely to provide derotation. Trimming of cartilage from the anterior septal angle would provide a d more
 

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+2
Dropping the nasal tip
Without all photographic views, including the base view (the one from below the nose looking up at the nostrils) I can not give you a specific plan to accomplish your goals. However, several options are present to derotate or drop your tip. 1) shaving the bottom of the septum can sometimes allow the tip to drop. Since it appears you do not need a lot in that regard, this might work well for you and would probably be my choice in your case. 2) trimming the tip cartilages right where they