Upturned-nose surgery without artificial implants — can nose length and even nostrils change? Materials and methods organized

01

I want to correct an upturned nose without an implant — the actual question

Q. I'm inquiring about upturned-nose surgery. My face shape is close to square and my eyes are average. My nose is short and lifted upward, with the nostrils showing a lot in a triangular shape. I'd like to improve tip height and nostril shape along with nose lengthening without using artificial implants. Please tell me about this kind of upturned-nose surgery.

A. It appears you want to extend nose length and correct nostril shape together without using artificial implants.

For nose lengthening, upturned-nose surgery proceeds by reinforcing the structure at the tip using ear cartilage, septal cartilage, or rib cartilage. Depending on the current state, adjusting nostril shape naturally may require accompanying ear-cartilage grafting or composite cartilage grafting.

For the bridge, if you don't want an artificial implant, autologous dermis can be used instead of silicone — or, if the existing bridge has some height, an implant-free approach to upturned-nose surgery can also be considered.

02

What materials are used per area?

Even for the same upturned nose, the material combination differs by how high the bridge is, how much the nostrils show, and what state the cartilage is in. How the tip structure is reinforced can be seen in more detail in the nasal-tip procedure guide.

03

How was the case that corrected even nostril asymmetry together?

The case examined together was one where the bridge was slightly bent before upturned-nose correction. The tip could feel short but the impression wasn't overly awkward — and the concern was that the nose looked tilted to one side because of nostril asymmetry. Wanting a naturally organized change while keeping the existing nose's image, it proceeded centered on upturned-nose correction.

• Accompanying septal deviation confirmed — a state where the bent inner nasal structure can lead to visible asymmetry or functional discomfort, confirmed together in this case.
• Tip support structure + cartilage tying — to set the slightly twisted bridge straight, a support structure was set at the tip and the center aligned with cartilage tying.
• Septal extension — the short tip length secured a natural length via septal-extension surgery matched to facial proportions.

After surgery, nostril symmetry was matched bringing stability, the bent-looking bridge was organized, and the alar that looked spread to both sides gathered toward the center — confirming an overall balanced, organized look. It's a case where a relatively small adjustment still produced a more organized impression than before.

04

Summary — confirm the material combination fitting your conditions first

Even with the condition "no implants," the options for upturned-nose surgery don't close. The tip can be reinforced with autologous cartilage, the bridge can consider autologous dermis or an implant-free approach, and the nostrils can be adjusted with accompanying cartilage grafting. What matters is confirming which combination fits my nose's bridge height, cartilage state, and nostril shape.

If you're curious which material combination fits your nose state, it can be checked in a 1:1 video-call consultation. Actual correction courses can be seen in before-and-after photos.