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Is it possible to lengthen a nose without losing projection?

also without making it pointy? maintaining its overall shape? do dorsal onlay grafts help with this?

Doctor Answers (10)

Dr. Jeffrey Epstein

+1
By lengthen, I assume you mean to make it appear “taller”, or longer from the top to bottom aspect. This has nothing to do with projection- which is the amount by which the nose protrudes from the face. Furthermore, increasing nose length as we are defining it need not result in pointiness (which is a product of how the cartilages are shaped). Several techniques can be used to achieve this increased length, but one of them is not typically dorsal onlay grafts- which while they can make the nose appear to be “taller” by creating more projection along the dorsum, they are not typically done with this goal in mind


Miami Facial Plastic Surgeon
5.0 out of 5 stars 45 reviews

Nasal length and projection

+1
It is possible to lenghten the nose and maintain projection with the right manuevers.  Nasal lengthening is a difficult movement and may not give you the amount you desire.  See a board certified surgeon with experience in rhinoplasty for the best results.  Donald R. Nunn MD  Atlanta Plastic Surgeon.

Donald Nunn, MD
Atlanta Plastic Surgeon
5.0 out of 5 stars 5 reviews

The effect of lenghtening a nose on tip projection.

+1
Almost any technique for lengthening a nose will involve adding more support to the tip. With such support the surgeon should have a great deal of latitude for determining where to place the projection. The decision of whether to increase, decrease, or simply maintain the current projection should be discussed before the operation and be agreed upon by both the surgeon and patient. As a rule increasing projection will make the tip appear more narrow, but not necessarily pointy, and this can be compensated for if so desired.

Andrew S. Frankel, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 1 review

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Lengthen a Short Nose without Losing Projection

+1
In Rhinoplasty (nose reshaping) surgery, the overall goal is almost always to achieve a more balanced, natural appearance of the shape of the nose in blending it with the facial features (and to have a non-operated appearance as much as possible).

In some cases it can be quite challenging to lengthen the nose, as it typically requires establishing a strong extension of the framework. Your best bet is to find an experienced rhinoplasty surgeon for an in-person consultation. A careful examination and analysis is required to determine an appropriate candidate and the appropriate procedure for lengthening the nose. I have not personally found maintaing projection or prevention of a pointy tip to be big limitations in lengthening the nose in appropriate candidates.

Hope this helps.

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Nick Slenkovich, MD
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Lengthening the nose without losing projection

+1
In most cases when lengthening the nose, projection increase his not decreases due to  additional cartilage grafting to the bridge line.  For many examples, please see  the link below to our rhinoplasty  photo gallery

William Portuese, MD
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Lengthening the nose without losing projection

+1
Yes, you can lengthen the nose without losing projection. I do this frequently for patients during revision rhinoplasties.  You should find an experienced rhinoplasty surgeon in your area and communicate what you have in mind.

Angela Sturm, MD
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Is it possible to lengthen a nose without losing projection?

+1
The length of the nose is measured from the tip to where the nose touches the forehead. That length can be increased slightly with grafting or a nasal implant.
Projection is measured from the tip to the lip. So, yes if you lengthen the nose you may also increase the projection following these definitions.

Thomas Trevisani, Sr., MD
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Lengthening

+1
Yes it is possible to lengthen a nose without losing projection. This is frequently done to correct over rotated and forshortend noses in my practice Dr. Corbin

Frederic H. Corbin, MD
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Lengthening a nose without losing projection during rhinoplasty.

+1
Lengthening a nose without losing projection during rhinoplasty is possible. You should see a very experienced rhinoplasty surgeon to have this properly done. I would need to see  pictures to give you any more information.

Toby Mayer, MD
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Lengthen the nose?

+1
Yes it is possible to actually lengthen the nose and also to create the illusion of a longer nose.  It all depends on your anatomy.  post some photos.

Jeffrey Ditesheim, MD, FACS
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.