Upturned nose correction: exposed nostrils and short nose lengthening

2026-07-26 17:28:02 Medical beauty strategy 0 98

Give a direct answer first

The core of upward nasal correction is "lengthening + downward rotation": using cartilage scaffolds such as nasal septum extension grafts to elongate the too short nose and rotate the upturned nose tip downward, so that the nasolabial corner returns to the natural range.Hyaluronic acid and thread carving cannot really extend the nose. Moderate and severe upward nose can only be surgically corrected by cartilage scaffold. The specific extension range needs to beDr. Tang YuxiangWait for a professional doctor's face-to-face consultation and determine after a skin tension assessment.

First, what is an upturned nose: three self-test criteria

Upturned nose (short nose) refers to the nose shape with the tip of the nose overturned, the nostrils exposed forward and upward, and the length of the dorsum of the nose insufficient. You can self-test against three indicators:

The nose and lip corners are too large:The angle between the nasal column and the upper lip is significantly greater than 105 degrees (ideally about 95 ° -105 ° for women and 90 ° -95 ° for men).
Exposed frontal nostrils:Most of the nostrils can be seen directly when looking up.
The nose length is too short.The length of the nose is significantly smaller than the proportion of the inferior court in the three courts of the face, and the length of the nose is less than about 1/3.

Congenital type and contracture type should be distinguished

The congenital upturned nose is mostly due to insufficient development of the nasal septum and alar cartilagecontracture short noseIt is caused by capsular contracture and infection scar after rhinoplasty to "pull" the tip of the nose up. The soft tissue of the skin is tight and hard, and it is much more difficult to correct. It belongs to the category of repair. Please refer toContracture nose repairIn this article, the congenital upward nose is the main one, and the overall nasal malformation classification is seenSix types of nasal deformity correction plan。

Second, how to correct the nose: plan and cost comparison

degree	typical performance	Corrective thinking	Common cartilage	Reference price range
mild	The corners of the nose and lips are slightly larger, and the nostrils are slightly exposed	Nose tip cartilage adjustment + a small amount of extension	Nasal septal cartilage/ear cartilage	About 4 million - 6 million yuan
moderate	The nostrils are exposed and the nose is short	Nasal septum extension graft + nasal tip shaping + dorsal nasal connection	Nasal septal cartilage is the main one, and the amount of costal cartilage is insufficient	About 6 million - 9 million yuan
Severe/contracture	Severe short nose and skin tension	Skin soft tissue release + costal cartilage scaffold extension reconstruction	Autologous costal cartilage	About 9 million - 15 million yuan

The cost is greatly affected by the combination of cartilage source and surgical method. See the complete cost composition.How much is a rhinoplasty?。

Key points of surgery

The nasal septum extension graft is an "engine".The cartilage is fixed at the end of the nasal septum and extends forward and downward to provide a new support point for the tip of the nose to achieve downward rotation and elongation.
Skin tension determines the extension of the upper limit:The lengthening range is limited by the elasticity of the nasal skin. Forcibly excessive lengthening will increase the risk of tension complications. Generally, a single extension should be a natural improvement of 2 - 4 mm.
Overall coordination:The nose that faces the sky is often accompanied by a low and flat back of the nose, and the connecting line of the back of the nose is raised at the same time, that is, the comprehensive correction of the short nose.

III. Recovery period and precautions

The stitches were removed about 1 week after surgery (10-14 days for the chest incision in the case of rib removal), and the nasal splint was fixed for about 1 week; most of the swelling subsided in 1 month, and the shape and elongation of the nose tip were subject to 6-12 months. See detailsRhinoplasty recovery schedule。
The tip of the nose will be hard, upturned or tight in the early stage after surgery, which will gradually become natural with the running-in of the bracket and soft tissue.
Strict sun protection, avoid tobacco and alcohol, and avoid kneading the tip of the nose and strenuous exercise within 1 months.

Fourth, upward nose correction FAQ

Q: How much does it cost to correct the nose?
A: Mild adjustment in Shanghai is about 40,000 - 60,000 yuan, moderate nasal septum extension comprehensive correction is about 60,000 - 90,000 yuan, and severe or contracture costal cartilage reconstruction is about 90,000 - 150,000 yuan, subject to the face-to-face plan.

Q: Can hyaluronic acid be corrected by hitting the nose to the sky?
A: It cannot be truly corrected. Hyaluronic acid can only elevate the back of the nose and slightly modify the surface of the tip of the nose, but cannot extend the nose and downward rotation of the tip of the nose; moderate to severe upward nose requires cartilage brace surgery.

Q: Do I have to take costal cartilage for upward nose correction?
A: Not necessarily. Septal cartilage is preferred for those with mild to moderate septal cartilage and sufficient septal cartilage; costal cartilage is required for those with insufficient septal cartilage or severe short nose or contracture nose.

Q: Will the tip of the nose be hard after nose correction?
A: The stent support will be hard in the early postoperative stage, and it will gradually approach the natural touch with tissue softening in 3 - 6 months, but the stent structure determines that its hardness will be slightly higher than that of the natural nose tip.

Q: How long can the nose be extended?
A: Limited by skin elasticity, a single general extension of 2 - 4 mm can bring significant visual improvement; pursuing excessive extension will increase the risk of complications and morphological stiffness.

Q: Will the upward nose correction fail? What should I do if I fail?
A: Any surgery has the possibility of morphological dissatisfaction or stent deflection; if it occurs, repair should be evaluated after tissue stabilization for more than 6 months, refer toRhinoplasty Failure Repair Guide。