Question: I have a small, turned-up, pixie-like nose. Can this be fixed with rhinoplasty and how? What sort of improvement can I expect?
Answer: It sounds like you need an augmentative rhinoplasty. While correction of small, aggressively up turned or shortened noses is common after a bad primary nosejob, some patients are simply born with these types of noses. The short, upturned, pixie or pug nose can be improved with various rhinoplasty techniques involving addition of cartilage grafts to the nose. There are limitations but using computer imaging you can get an idea of what some of the options may look like.