An upturned nose typically features a larger, fuller nasal tip with a slight upward curve, making the nostrils clearly visible from the front. This can significantly impact social interactions, making early surgical correction essential.
The treatment for upturned noses presents greater technical challenges than other rhinoplasty procedures. This difficulty stems from the limited skin covering the nose; even after correcting nasal cartilage issues, insufficient skin can compromise the final outcome. Consequently, the primary surgical goal is to lengthen the septal cartilage. During the procedure, an open approach is used to dissect the septal cartilage and alar cartilage.Simultaneously, cartilage from below the septum or from the ear is harvested as graft material to extend the septal cartilage.
Furthermore, the surgeon dedicates significant time to preoperative planning for upturned nose correction—including sculpting cartilage, shaping the nasal tip, and dissecting the lateral nasal cartilage and alar cartilage. Achieving optimal results requires your careful cooperation throughout this meticulous process.
What should be noted for upturned nose correction?
1. Inflammation or rejection: Occurs in approximately 3% of cases. If it happens, the nasal implant must be removed and treated with antibiotics. After infection control, the artificial nasal implant can be reinserted in three to six months.
2. Displacement: If the implant is placed subcutaneously instead of subperiosteally, it is highly prone to shifting.
3. Exposure of the Implant: If the implant is too large or long, the skin at the tip may perforate under pressure, exposing part of the implant.However, in revision rhinoplasty after initial surgery, scar tissue traction and mucosal damage limit skin elasticity, restricting nasal length extension.
Thus, successful primary upturned nose correction is essential. Revision surgery faces limitations in nasal length due to restricted skin elasticity, compromising outcomes and increasing surgical complexity.