How is a Nose Made Longer?

It is very difficult to make the nose look longer without any cartilage grafting. It is one of the most difficult maneuvers to perform during a rhinoplasty operation. In trying to gain length, many times the tip of the nose comes up and looks too upturned. There are some tip techniques that are performed such as dome suturing techniques with cartilage struts and tip grafts to give more projection to the nasal tip, but we are only talking about several millimeters, not a large change. Scar contracture is also working against a tight skin envelope if this is a revision rhinoplasty.  

I am sorry to hear of your experience. Cartilage grafting is usually necessary to improve a tip that has been shortened by rhinoplasty. Typically strut grafts and onlay graft can be done to refine in length in the tip.Since you have no septal cartilage tear cartilage can usually be used to perform these procedures.Obviously you need to find an expert in rhinoplasty surgery. Revision rhinoplasty is difficult and requires the skills of an experienced plastic surgeon.

The shortened nose or "pig nose" deformity is a common complaint following rhinoplasty surgery.  In order to lengthen the nose special grafts will have to be placed during revision surgery.  "Septal Extender" and "Extended Spreader" grafts can be placed to increase length.  Since you do not have septal cartilage, I would prefer to use rib cartilage for the procedure.  Rib will provide the most durable and lasting effects for this situation.  Good Luck....Dr. Corrado