In upturned-nose surgery, how far can a lopsided nose and nostril symmetry be matched? — three questions
2025. 6. 5.
When a low, short upturned nose has lopsided left-right heights and rhinitis together — organized with the director's answers: whether lengthening·deviated-nose correction·rhinitis can proceed together, whether cost is added, and how far nostril symmetry can be matched.
Key points
- Raising the bridge, extending nose length, rhinitis, and straightening a slightly bent nose are guided as a scope that can proceed together.
- Still, correcting a bent nasal bone and rhinitis surgery mostly often add cost.
- During surgery nostril shape and size can be adjusted, but making them 100% identical can be difficult.
"My bridge is low and short, my nostrils are lifted, and the left-right heights differ. On top of that I have rhinitis — can it all be operated on at once?"
Among people looking into upturned-nose surgery, concerns often don't organize into just one — because nose shape and left-right balance plus functional problems like nasal congestion exist together.
This article organizes, based on three actual consultation questions, how far things can proceed together and to what degree nostril symmetry can be adjusted.
01
What state was it?
The questioner's nose had the following features overlapping.
- A low, short bridge with lifted nostrils — a state of considering upturned-nose surgery
- A nose looking slightly bent — not enough to notice without looking closely
- Rhinitis severe enough that the nose often clogs in winter
- A lopsided nose whose bridge height differs between right and left views (the right looks higher, the left lower)
- The right nostril lifted more than the left — a state that bothers them in every photo
On the premise of wanting surgery combining this state, they asked three things.
02
Can bridge·lengthening·rhinitis·bent nose be operated on at once?
The first question was whether — during upturned-nose surgery — raising the bridge, extending the length, and handling rhinitis plus a slightly bent nose could all be done together.
To this we guided that upturned-nose surgery along with raising the bridge and extending the length, plus rhinitis and a bent nose, can proceed together. What is checked in which order when multiple concerns overlap like this can be seen in more detail in the consultation guide.
03
If rhinitis and a bent nasal bone are done together, is cost added?
The second question was whether, on top of upturned-nose surgery cost, operating on a slightly bent nasal bone and rhinitis together costs more.
It differs per clinic, but correcting a bent nasal bone and rhinitis surgery mostly often add cost — because the scope that must be handled grows beyond the upturned-nose correction.
| What is done together | How cost is viewed |
|---|---|
| Upturned-nose surgery alone | Base scope |
| Correcting a bent nasal bone together | Mostly often added |
| Proceeding with rhinitis surgery together | Mostly often added |
04
Can lopsided nostrils be made identical?
The third question was whether the left-right nostrils' position and size can be made symmetrically identical.
During surgery, nostril shape and size can be adjusted. Still, making them 100% identical can be difficult, and the goal is making them as similar as possible so other people don't notice a difference.
In other words, nostril symmetry is closer to the actual result when understood as narrowing the left-right difference to a range that doesn't stand out — rather than "completely identical."
05
The case examined together — upturned-nose correction
This is a surgery case related to upturned noses. Below is only a summary of its procedure details — the actual before-and-after photos can be seen in before-and-after photos.
- A short bulbous nose that was also upturned — the tip was extended as much as possible to organize the nose's overall line, and the effect of the lower face settling inward let the whole face's balance be matched.
- An upturned nose that was small with a short tip — the tip was short enough that nostrils showed from the front. Tip length was extended using a medium 4mm silicone and ear cartilage.
- A case where the tip leaned to one side making it asymmetric — the tip that had spread to both sides was organized through lobule trimming or lateral alar reduction.
06
Summary — divide the scope that can be viewed together from the limits
When a lopsided nose and rhinitis overlap an upturned nose, the worry starts with "can all of this be done at once." Raising the bridge, extending length, and handling rhinitis plus a bent nose together is a possible scope — though nasal-bone correction and rhinitis surgery mostly often add cost. Nostrils can have shape and size adjusted but making them completely identical can be difficult, so the goal is a range where the difference doesn't stand out.
Which range your current nose falls into can only be known by checking it directly. We recommend confirming the state first in a 1:1 video-call consultation.
Frequently asked questions
Answers to common questions patients ask before a consultation.
Can upturned-nose surgery and rhinitis surgery be received at once?
Is nostril symmetry completely matched?
My bridge height differs left to right — can this be viewed together too?
Responses to treatment and recovery progress vary by individual. Outcomes and side effects vary from person to person. Bleeding, infection, swelling and asymmetry may occur. Please consult our medical team before making a decision.