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Piggy Nose After Rhinoplasty: Causes, Signs & How to Fix an Upturned Nose
Posted by Nicole Schrader, MD, FACS
Are you facing unexpected cosmetic concerns after your rhinoplasty? An upturned nose after rhinoplasty, commonly referred to as a “piggy nose”, occurs when the nasal tip is rotated too far upward, making the nostrils more visible from the front. This can happen due to surgical technique, swelling during healing, or changes in cartilage support. While mild cases may improve over time, a nose that remains too upturned after rhinoplasty may require non-surgical correction or revision surgery.
Dr. Nicole Schrader, a skilled surgeon, understands the complexity of these issues and offers an array of effective procedures. Her proficiency ensures tailored strategies for individuals grappling with post-operative dissatisfaction, aiming to restore both aesthetic appeal and personal self-assurance.

What Is a Piggy Nose After Rhinoplasty?
A piggy nose after rhinoplasty refers to an overly upturned nasal tip that exposes more of the nostrils than intended. This can result from over-rotation during surgery, swelling, or structural changes to cartilage. While mild cases may resolve during healing, more pronounced cases may require correction.
How to Fix an Upturned Nose Without Surgery
Investigating non-surgical nose job techniques offers a variety of benefits for individuals looking to enhance their nasal aesthetics without the downtime and risks associated with surgery. One popular method involves the use of dermal fillers, which can alter the shape of the nose by adding volume to specific areas. This minimally invasive approach can help balance facial features with immediate results.
Non-surgical treatments should be administered by a skilled practitioner who understands the anatomy of the nasal valve, the area responsible for regulating airflow. Proper technique ensures that while the shape of the nose may be altered for cosmetic reasons, the essential function of breathing is preserved and not compromised.
Patients may explore the following alternatives:
- Dermal filler injections to smooth out bumps
- Botox to address drooping nasal tips
- Non-surgical nasal contours
Each method is designed to be temporary but offers a chance to test-drive nasal changes before committing to permanent surgical options.
Revision Rhinoplasty for a Piggy Nose
When an initial nose job results in an upturned nose, patients may contemplate a second rhinoplasty. This cosmetic procedure is dedicated to correcting the over-rotated, upturned appearance that characterizes a piggy nose. Surgical techniques are pivotal in addressing these aesthetic concerns, ensuring precision and effectiveness. Choosing to undergo revision nose jobs involves several criteria:
- Persistent dissatisfaction with nasal shape after initial surgery.
- Functional issues impacting breathing or nasal structure, including breathing difficulties that might arise post-operation.
- Confirmation that the nose has fully healed from the first surgery, where the integration of cartilage grafts could be considered for structural support and refinement.
An experienced surgeon evaluates these factors to ensure the viability of revision surgeries. Preferably, patients should wait at least a year for the nose to stabilize from the previous procedure. Revision surgeries are delicate; hence, selecting a surgeon who specializes in revision rhinoplasty maximizes the potential for a successful outcome. This step considers both aesthetic refinement and the correction of any functional impediments caused by the initial operation.
How to Prepare for Revision Rhinoplasty
When considering a revision procedure after a bad rhinoplasty procedure, patients must work closely with their surgeon to develop a comprehensive surgical plan. It’s essential to have clear communication about your desired outcomes and to understand the potential risks and benefits of undergoing a secondary surgical procedure. Preparing mentally and physically for the revision is also important, which may include:
- Ensuring good overall health for better recovery
- Following the pre-surgery instructions given by your surgeon
- Planning for adequate time off work and support during recovery

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Will an Upturned Nose Improve After Rhinoplasty?
After undergoing rhinoplasty procedures, it’s paramount to let the body heal entirely before evaluating the results. The average time of the recovery process spans several months, during which residual swelling gradually subsides. It’s crucial to remain patient and refrain from drawing any premature conclusions about the final appearance of your nose.
In the initial weeks, notable changes occur, but residual swelling can still distort the true outcome. As you progress through the recovery phase, swelling disappears, and the nasal contour sharpens. Here’s why waiting is essential:
- Residual Swelling: This can mask the nuances of the surgery, making the nose appear different from the expected result. Only when the swelling has fully diminished can you appreciate the final nose shape.
- Months of Patience: The body heals at its own pace, requiring months to adapt to the changes made during surgery. This period allows for any minor concerns to be addressed.
- Stress and Anxiety: Premature judgments can cause unnecessary stress. Giving yourself time ensures a more accurate assessment.
Consult with Your Original Surgeon
After considering a revision rhinoplasty, the next vital step is to consult with the surgeon who performed your previous rhinoplasty. The surgeon, familiar with your medical history and the specifics of your first surgery, is your best resource for accurate advice. This professional can evaluate the healing process and determine whether your concerns stem from the natural settling of tissues or if genuine structural adjustments are necessary.
During the consultation, engage openly about your expectations and listen to the professional opinion of your surgeon. They can offer unique insights into the complexities of performing a secondary surgery, taking into account the changes made during the original procedure. Remember that the aim is to ensure your health and satisfaction, so trust in the experience your original surgeon brings to the table.
Follow Post-Revision Rhinoplasty Care Instructions
Proper care of nasal skin and tissues is pivotal during the recovery period following a revision rhinoplasty. To prevent complications and support the healing process, adhere to these care instructions meticulously. Keep the nasal skin clean and moisturized, but be gentle to avoid irritation. Use prescribed ointments judiciously to aid in healing and reduce scarring.
Swelling and bruising are common in the nasal tissues; manage this with cold compresses and keeping your head elevated, especially when sleeping. Protect your nose from potential injury by avoiding glasses that rest on the nasal bridge, contact sports, or any activity that might result in a bump to the nose.
Your surgeon will provide a detailed plan tailored to the specifics of your revision surgery. It is critical to follow this guidance closely to secure the best possible outcome and to ensure that the newly revised structures settle into place. Remember, each instruction plays a role in the collective care necessary for successful recovery.

Precautions to Take When Correcting a ‘Piggy Nose’
Correcting a ‘piggy nose’ after primary rhinoplasty requires diligent planning and choosing the right surgeon for revision surgery. To ensure the safety and optimal outcome, patients must consider several safety measures.
First, select a board-certified surgeon with vast experience in correcting over-rotated noses. Their expertise offers insight into the unique challenges of secondary rhinoplasty and can mitigate potential complications. Discuss your concerns transparently, covering all previous procedures and desired corrections to your nose bridge.
Also, have realistic expectations about the results. Adjusting a pig nose may involve complex restructuring, and patients need to understand that perfection is not always achievable.
Pre-surgery, conduct thorough diagnostics, including imaging, to help your surgeon plan the precise adjustments. Furthermore, adhere strictly to pre-and post-operative instructions.
About Dr. Nicole Schrader
Dr. Nicole Schrader, MD, FACS, is a double board-certified facial plastic surgeon in New Jersey with over 20 years of experience in facial aesthetics and reconstructive surgery, including cosmetic and functional rhinoplasty.
Credentials & Expertise
- Double Board-Certified: Facial Plastic & Reconstructive Surgery and Otolaryngology – Head and Neck Surgery
- Rhinoplasty & Nasal Function Specialist: Extensive experience in both cosmetic and functional rhinoplasty, addressing appearance as well as breathing and nasal health
- Facial Surgery Expertise: Performs a wide range of facial procedures with a focus on balance, harmony, and natural-looking results
Education & Training
- Medical degree from George-August University in Germany, graduated with highest honors
- Residency in Otolaryngology – Head and Neck Surgery at Temple University
- Fellowship in Facial Plastic & Reconstructive Surgery at Robert Wood Johnson Medical Center
Clinical Approach
Dr. Schrader takes a personalized, anatomy-based approach to rhinoplasty, carefully evaluating both structure and function. She emphasizes detailed aftercare and patient guidance to support proper healing and minimize postoperative concerns such as swelling or nasal drainage.

Consult with a facial plastic surgery expert
Considering the importance of expertise in achieving a beautiful and natural-looking nose, especially after a bad nose job, it’s wise to consult with Dr. Nicole Schrader. As a double-board-certified facial plastic surgeon, she offers upturned nose rhinoplasty in New Jersey, tailoring her approach to meet your unique needs, aesthetic goals, and potential breathing concerns. Schedule your consultation today to explore the best path to your ideal facial balance.
Frequently Asked Questions About Piggy Nose After Rhinoplasty
Can an upturned nose after rhinoplasty go down?
Yes. In many cases, swelling makes the nose appear more upturned early on. As healing progresses over 6–12 months, the nasal tip may settle into a more natural position.
Why does my nose look piggy after a nose job?
A “piggy nose” after rhinoplasty happens when the nasal tip is rotated too far upward, making the nostrils more visible. This can result from surgical technique or temporary swelling.
How do you fix a nose that is too upturned after rhinoplasty?
Mild cases may improve with time. More noticeable cases can be treated with dermal fillers or revision rhinoplasty to adjust the nasal tip and restore balance.
Is a slightly upturned nose normal after rhinoplasty?
Yes. A slightly upturned nose is often part of the healing process. If it persists after full recovery, further evaluation may be needed.
When should I worry about an upturned nose after rhinoplasty?
If the nose remains too upturned after 6–12 months or affects appearance or breathing, consult a specialist about possible correction options.