Long Nose in Vertical Direction

asked 11 months ago by kenny48
Latest answer by William Portuese, MD
Question viewed 214 times
Tags: long, options

I understand that the most common method for decreasing the length of the nose is to raise the tip.On one rhinoplasty website however I have read of another method.When the anterior nasal spine is prominent and the upper lip is tethered,removal of the anterior nasal spine can shorten the nose by raising the position of the entire base of the nose,not just raising the tip.Would this be a good technique for improving a nose which is too long vertically? (length along the dorsum is ok).

8 answers to Long Nose in Vertical Direction

Long nose rhinoplasty.

It is impossible to say what would be best for your nose without photos. There are many more ways to do this depending on the problem.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Shortening a long nose

There are multiple surgical options to shorten the nose from a long vertical direction. One option is to lower the radix by rasping down the bridge close to the eyebrow area. This will shorten the nose. Another option is to reduce the anterior nasal spine and inferiorly projecting columella by trimming back the caudal and membranous septum. Turning the nasal tip up can also shorten the nose, however if it is turned up too much it will look operated upon. Lastly,... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Rhinoplasty for a long nose

I have performed Rhinoplasty for over 20 years and have found that sometimes the semantics of Rhinoplasty and its techniques are misconstrued by laypeople. The nose is described as long when one of two factors occurs. The tip is under rotated giving the illusion of length along the same axis as the nasal bridge. The tip, of the nose, is over projected "Pinocchio effect" in the vertical dimension These are handled very differently during... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Nose shortening

Without photos it is dificult to advise. Usually the nose is shortened by trimming the caudal septum. If it is overprojected then any combination of lower lateral cartilage techniques and septal work can be used. If you are describing a hanging columella with excess alar columellar show due to an enlarged nasal spine and caudal septum then reducing the nasal spine may be of help. Otherwise its usually not necessary to work on the nasal spine itself to effect length.

Michael L. Schwartz, MD
West Palm Beach Plastic Surgeon

www.palmbeachface.com

Shortening the nose.

Without seeing photos it is diffiuclt to say, but if you are complaining about a long nose where it projects too much, and it is definitely not too much dorsal height, then think of it like pitching a tent. If the poles are too long they have to be shortened. This can be done with the lower lateral cartilages of both medial and lateral crura.

Steven Wallach, MD
Manhattan Plastic Surgeon

Reducing Vertical Tip Height.

Hi, Removing the anterior spine sounds alittle drastic. You can achieve the desired result from shortening the Medial Crura of the Lower lateral cartilages and adjusting the dome and lateral crura of the lower lateral cartilages. Best, Dr.S.

Oleh Slupchynskyj, MD
New York Facial Plastic Surgeon

www.facechange.org

Length of nose can be adjusted several ways.

1- The length of the nose is defined as the distance from the radix (depression of the nose between your eyebrows) to the nasal tip. 2- You can shorten a nose by a) rasing the nasal tip or, b) lowering the radix. 3- The anterior nasal spine can be prominent which makes the lip look pulled and shorter. Once the lip looks shorter, the nose appears longer, but nothing has actually changed. 4- Any rasining of the tip or eliminating the anterior nasal spine is limited by the position... more