What is a sky-facing nose?

朝天鼻（仰鼻）指nose过度上旋、alar缘后缩，正面易见较多鼻孔，侧面鼻唇角偏大。

common cause

• 先天鼻中隔/cartilage发育短小；

• 既往不当rhinoplasty或挛缩导致鼻尖上拽；

• Insufficient support on the nasal flap.

Repair ideas

核心在"延长与下拉"：常用鼻中隔/肋软骨移植延长鼻中隔、重建鼻翼缘支撑、下移鼻尖表现点。属较复杂的nasal repair，对医生解剖经验要求高。

expected management

The extent of improvement is limited by the original organizational conditions, and the goal is natural coordination rather than "complete change." Preoperative image simulation helps communication.

repairThe plan requires evaluation by a professional doctor. This article is popular science.