How to Correct Upturned Nose

Dec 10, 2021 Source: Cainiu Health

Dr. Liu Wan

Introduction

1. Columellar Lengthening Surgery: This procedure elevates the nasal tip using autologous cartilage or implants to lengthen the columella and correct alar flaring. It is suitable for cases where the nasal bridge is normal in height but the upturned nasal tip causes excessive nostril exposure. 2. Comprehensive Rhinoplasty: This includes rhinoplasty (nasal augmentation), columellar lengthening, and alar surgery. For mild upturned noses with a normally proportioned nasal bridge, auricular cartilage grafting may be employed.

Upturned nose (also known as “skyward-facing nose”) is a relatively common nasal deformity that significantly affects facial appearance. It is characterized by excessive visibility of the nostrils. This condition can be effectively treated through rhinoplasty. Numerous rhinoplasty techniques are available, and individuals are advised to consult qualified professionals at reputable medical institutions. With appropriate surgical intervention, excellent corrective outcomes can typically be achieved—restoring both nasal aesthetics and patient self-confidence. Below, we explore this topic in greater detail.

Correction Methods for Upturned Nose

1. Septal extension grafting (nasal columella lengthening): This procedure involves augmenting the nasal tip and lengthening the nasal columella using autologous cartilage or synthetic implants to correct upwardly rotated nostrils. It is suitable for cases where the nasal bridge is normally proportioned but the nasal tip is excessively upturned, resulting in visible nostrils.

2. Comprehensive rhinoplasty: A multi-component approach incorporating augmentation rhinoplasty (e.g., dorsal augmentation), septal extension grafting, and alar modification.

For mild upturned noses with normal nasal bridge height, auricular cartilage grafting may be employed. If concurrent low nasal bridge height is present, an L-shaped implant may be used to achieve optimal correction.

However, correction of pathological upturned nose is more complex. In such cases, surgeons must design individualized surgical plans based on detailed assessment of the patient’s specific nasal anatomy.

Additional Information: Causes of Upturned Nose

I. Primary upturned nose: Resulting from congenital factors or inadequate postnatal development of nasal cartilage.

II. Secondary upturned nose: Typically arising after prior rhinoplasty or nasal trauma, due to scar contracture and tissue retraction.

The above outlines the key approaches to correcting upturned nose. We hope this information proves helpful to you.

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Comparison between upturned nose and normal nose

Upturned nose is a type of nasal deformity, typically characterized by excessive elevation of the nasal bridge, resulting in an upwardly projecting appearance. Compared to a normal nose, an upturned nose shows significant differences in the nasal bridge, nasal tip, and alar regions. In an upturned nose, the nasal bridge is overly high, creating disproportionate and disharmonious facial proportions, which may give others an unusual impression. In contrast, the nasal bridge of a normal nose is relatively flat.