Rhinoplasty for the Upturned Nose

 

625. <Rhinoplasty for the Upturned Nose*

An upturned nose—short, with excessive nostril show—is more than a cosmetic concern; it reflects an underdevelopment of the nasal bones and cartilaginous structures. Genetically, it’s often seen in those with ancestry from warmer climates, where a shorter nasal passage was advantageous for rapid airflow and less need to humidify or warm the air. Evolution shaped the form. But in today’s world, harmony in facial proportions often calls for correction.

True upturned nose correction is not a simple lift or implant. It’s a thoughtful reconstruction. Because the nasal bones are difficult to lengthen, we instead focus on the scroll area between the upper and lower lateral cartilages. This area is carefully released, and autologous cartilage—often harvested delicately from the rib through a 1.5cm incision—is inserted to elongate the nasal structure with lasting stability.

To preserve function and minimize visible scarring, we use a closed-open hybrid technique, avoiding full columellar incisions. This approach maintains blood supply to the tip, reduces downtime, and enhances aesthetic finesse.
When asymmetry exists between the nostrils, we employ derotation wing grafts—a precise method of adjusting each side independently to restore balance while correcting the upturned shape.

If alar flaring accompanies the upturned nose, we discreetly perform alar base reduction, placing stair-step incisions just above the alar crease to naturally conceal scars and prevent unnatural tightness or "droplet" shapes.

Above all, surgical correction should never compromise function. Autologous tissue ensures the nose remains soft, natural, and integrated with the body. Unlike artificial implants, it reduces the risk of capsular contracture or further retraction. Done thoughtfully, this surgery is not just cosmetic—it restores balance, breath, and confidence.

Accepting one’s natural shape is always beautiful. But when change is desired, we believe in safe, anatomical, and elegant solutions tailored to each unique face.

[Upturned nose correction is a graceful elongation of nose by putting interpositonal graft]

— 625mm growing pine tree-