I had a rhinoplasty and my nose is now too short. It looks so horrible and unnatural. It has been 8 months already and still too short and horrible. Is there anyway I can have my nose length back? Everyone keeps telling me how difficult the revision surgery be. Can anyone please help me or recommend someone in NY or Brazil. I was considering Ivo Pitoguy who they consider Michael Angelo but he is not 82yrs old and still performing surgery. What do you think? Please I am desperate for help.
My Nose is Too Short Can It Be Made Longer?
Doctor Answers 9
Promoted Local Answer
Yes, nasal length can be added in primary or revision cases. Whether you can go "back" to where you started may or may not be possible but revision rhinoplasty to lengthen an overly reduced, shortened or up turned nose is very possible as long as there is enough skin envelope to stretch over the newly rebuilt underlying cartilage framework.
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Lengthening Your Nose
At 8 months, it is too soon to revise your short nose, but it is a good time to start considering your options for surgery and interview potential surgeons. There are many excellent revision surgeons here in the US - you don't need to leave the country.
Lengthening a short nose
Lengthening the short nose is a very difficult procedure during the revision rhinoplasty. There are some techniques that are available such as cartilage grafting and extended spreader grafts provided there is enough cartilage left on the inside of the nose. If there is not any cartilage left on the inside of the nose, a rib graft or ear graft may have to be employed. There are other maneuvers at the caudal septum that can be addressed depending upon the patient’s needs, wishes, and desires. It is important to wait at least one year after the surgery before embarking on any further revision surgery. Make sure you look for a surgeon who has performed thousands of rhinoplasty surgeries and is well versed in revision rhinoplasty.
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Unhappy at 8 months
In regards to all of your posts - It is extremely difficult to answer your questions without seeing your photos or examining you – it would be very helpful to post images showing your areas of concern
82 years old and operating ? There are many excellent surgeons near you. Do your homework talk to several and go with the one you feel best understands your issues.
It is difficult to comment without examining you. A revision should wait until 12 months after surgery so that the tissues are soft enough tto work on. Certainly you can go for a consult know and set it up.
Revision Rhinoplasty - Lengthening a shortened Nose
Regarding : " "My nose is too short can it be made longer? I had a rhinoplasty and my nose is now too short. It looks so horrible and unnatural. It has been 8 months already and still too short and horrible. Is there anyway I can have my nose length back? Everyone keeps telling me how difficult the revision surgery be. Can anyone please help me or recommend someone in NY or Brazil. I was considering Ivo Pitoguy who they consider Michael Angelo but he is not 82yrs old and still performing surgery. What do you think? Please I am desperate for help"
To lengthen a shortened nose the nasal tip needs to be pushed forward and supported with straight and sturdy cartilage grafts. The amount of nose scarring, the condition of your tip and the availability of cartilage grafting material would determine the ease and likelihood of success of your revision operation.
You do NOT need to leave the US much less New York for major revision Rhinoplasty. I would refer you to EITHER Dr. Tabbal or Dr. Pastorek in New York or Dr. Jack Gunter in Dallas.
The choice of your surgeon determies the ultimate outcome.
Now you have a problem, short nose after rhinoplasty, cartilage was taken or modified, scarring has occured, you need a vey experienced surgeon
See Dr. B. Guyuron, Chairrman Department of Plastic Surgery at Case Wesern Reserve university, cleveland, Ohio
After rhinoplasty, swelling may last for 18-24 months and the final result will not be evident until that time. It is best to be patient, and wait at least one year before any revision work is performed. It is possible to lengthen the nose, and it is difficult. It is hard to give you accurate advice without seeing photos. When performed properly by a highly skilled surgeon, revision rhinoplasty may yield excellent results. Best of luck to you.
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.