What Can Be Done to Reduce the Size of a Long Hook Nose? (photo)

I have what many call an aquiline/hook nose, it's very long with with a drooping tip and bump on the bridge. I am aware of nasal tip rotation and tip projection, but can i also have the anterior nasal spine removed/reduced to make my nose appear even shorter? would a plastic surgeon perform all these maneuvers? would my upper lip appear longer afterwards? i would of course love to remove the bump from my nose. any other tips on how to reduce vertical height would be great. thank you

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6 Doctor Answers | Asked by davidvilla

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Reducing size of long hook nose

The rhinoplasty procedure would involve tilting the tip upwards with tip suturing techniques, cartilage removal, and dorsal hump removal. Once the hump is removed, osteotomies will have to be performed to narrow the nasal bones. These will all be done at the same time. It is important not to remove the anterior nasal spine since this will just create more of a downward projection of the nose.

Rhinoplasty for a Drooping Nasal Tip

I would agree with your general description of what might be done to improve the appearance of your nose. However, as noted, the nasal spine would not be a real consideration in terms of rotating the tip and changing the tip projection. Instead, the emphasis would be more on repositioning and reshaping the lower lateral cartilages to achieve the desired goal. Your upper lip would likely be more visible afterwards, giving the illusion that it is longer. You could also have the bump reduced to... more

The long nose with a dorsal hump is a common presentation and amenable to surgical correction.

You have already done some research obviously. Yes, the dorsal hump needs to be eliminated (rasping and osteotomies) and the tip rotated up by trimming the tip cartilages. This shortens the nose. But this does not really involve the anterior nasal spine. I prefer a closed approach, keeping the incisions on the inside of the nose where they cannot be seen. Yes, an experienced plastic surgeon can combine these maneuvers. Lifting the tip can make the upper... more

Reducing long hook nose

Thank you for your question and for providing the photos. There is a variety of things that can be done to change the appearance of the nose and make it more proportional to the rest of your face. The dorsal hump or bump could be removed, and the tip rotated back into position. This combination of manuevers will alleviate the hook shape of your nose. It is possible to shorten the nose at the same time. The bottom part of the septum, called the caudal septum, can be trimmed to shorten an... more

Rhinoplasty for the bulbous and overprojected tip with a hump.

Rhinoplasty for the bulbous and overprojected tip with a hump can be done. I agree that when the tip is rotated you indeed are overprojected. You have not seen your upper lip for years so it will appear longer even if it is 90 degrees to the face. See an experienced rhinoplasty surgeon .

Toby Mayer, MD

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Beverly Hills Facial Plastic Surgeon

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What Can Be Done to Reduce the Size of a Long Hook Nose?

Aesthetically speaking, from the photos provided, the nose is elongated (due to under-roatated nasal tip) with a large dorsal hump and wide tip. These can be reduced and refined using a closed Rhinoplasty or Open Rhinoplasty. If the tip is over-projected (I'm not sure that I agree aesthetically that it is from these photos), IMHO, it's best done at the level of the nasal tip by reducing the height of the tip cartilages themselves. Removing the anterior nasal spine, as... more