Upturned Noses: Understanding Beauty Standards and Trends

Rhinoplasty is one of the world’s most sought-after cosmetic surgeries. The aim is to achieve a harmonious nose that complements other facial features.

An upturned tip may result from trauma or previous surgical interventions; additionally, genetic factors may also play a part.

Caudal septal extension grafts

Caudal septal extension grafts are one of the several treatment options for upturned noses, using long, strong pieces of cartilage to counteract the upward movement of the nasal tip.

Surgeons then stitch this graft onto the septum for added vertical dimension as well as performing functions like derotation or projection of nasal tips.

Proper placement must also be ensured so as to not interfere with existing nasal structures.

Guyuron and Varghai [28] developed a technique for filling this 3-5 mm caudal margin gap in a septum with extended septal cartilage along its caudal margin by employing two spreaders and one fixed butt-type struts to support septal tip cartilage, as well as providing stability to reduce risk of asymmetry by providing support between extended septal cartilage on either side of its caudal margins.

Their tongue-and-groove technique ensures stability while reducing risks while providing stability; however substantial septal cartilage may be necessary for sufficient length to be obtained.

Radix Grafts (rectangular pieces of septal cartilage with narrow apices) may also be an option to treat upturned noses and other defects.

They provide an alternative to septal batten grafts when harvestable septal cartilage is limited.

Extended spreader grafts

Spreader grafts are used in rhinoplasty to enhance breathing and define dorsal aesthetic lines of the nose while correcting nasal valve collapse, which is common among those with under projected noses.

They may be placed either lateral to or in front of the septal rib depending on what caused its collapse; typically those placed lateral to are preferred due to better supporting upper lateral cartilage and nasal pyramid structures.

One effective approach to correcting an upturned nose is the combination of the spreader graft technique with scar tissue release.

This procedure involves extracting any excess scar tissue around the nasal septum so surgeons can reshape this area without damaging other areas of the nose while improving airflow through other procedures as well.

To execute this treatment, a surgeon creates a pocket in each nostril and removes a piece of cartilage from either the septum or ear and installs it between two upper lateral nasal cartilages as a spreader and widener of internal nose valve angle.

This angulation aids breathing more easily while supporting the middle vault structure with cartilaginous walls.

Revision rhinoplasty

If you are dissatisfied with your nose job results, revision surgery could be the right solution for you.

Working with an experienced facial plastic surgeon, they can improve on what was initially accomplished to create more pleasing nasal contours and restore more pleasing shapes to the nasal structure.

A nose job correction surgery may address several aesthetic and functional concerns including an upturned appearance (commonly known as a pixie or pug nose).

Step one involves consulting with a double board-certified facial plastic surgeon for an in-depth nasal evaluation.

Your physician will analyze both nasal structure and skin quality to achieve a natural-looking result and discuss goals and lifestyle details to develop an individualized treatment plan.

An upturned nose may be caused by genetics or trauma and is notoriously difficult to correct; however, cartilage grafts from the septum, ears, or ribs may help correct it and create more masculine profiles by counterrotating its rotation and providing support to its nasal tip.

Revision rhinoplasty can also help correct a scooped bridge, often caused by overcorrection of the bridge hump correction or taking too much bone out from the nose.

Revision rhinoplasty can correct this concave appearance by adding cartilage to either the septum or earlobes for added support and stability.

Nose reshaping

An upturned nose can be treated using various approaches, including rhinoplasty, dermal fillers, and extended spreader grafts.

An experienced facial plastic surgeon can help you achieve the nose of your dreams in a natural-looking fashion.

Genetics is typically responsible for an upturned nasal tip; your features and other aspects are determined by genes passed down from both parents.

An upturned nose may also develop due to sudden injuries like motor vehicle accidents, falls, or contact sports that result in broken noses.

Rhinoplasty (nose job), is a surgical process to correct an upturned nose tip and can also improve breathing by correcting deviated septae.

A drooping or over-rotated nose can block airways leading to issues like snoring or sleep apnea causing disruptions that disrupt normal sleeping patterns resulting in symptoms like snoring.

An unsightly or over-rotated nasal tip may be the cause of embarrassment for patients, and may even damage self-confidence and make you less attractive.

While there are various rhinoplasty techniques that may help address this problem, before making your choice you must consult a board-certified facial plastic surgeon as they will assess your needs and offer guidance as to managing expectations during the recovery process.