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
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.
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.
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.
Nick Slenkovich, MD FACS
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
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.
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.
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
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.
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.