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Shortening Nose Length During Rhinoplasty

What measures are taken to shorten the overall length of the nose during a Rhinoplasty surgery?

Asked 24 months ago by Michael88 in Portland, OR

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nose

There are several ways to shorten the long nose during rhinoplasty.

The usual way this is done is by removing part of the septum and trimming the cartilages of the tip. You should see an experienced rhinoplasty surgeon and discuss with him what are the goals you would like to accomplish. See live patients where he has done this.

Doctor's Website

Toby Mayer, MD

Beverly Hills Facial Plastic Surgeon

Rhinoplasty to shorten the nose

Shortening the nose can be achieved in a number of ways. However, much like other aspects of rhinoplasty, a personal evaluation by an experienced surgeon is very important here. This is because overall facial balance must be taken into account to determine 1. if indeed the nose is too long; 2. the reason for excess length (septum, bones, other issues); 3. any other issues that need to be addressed as a result of shortening. The last issue is important. Any time one issue is addressed in... more

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Sam Most, MD

Bay Area Facial Plastic Surgeon

Shortening a long nose

The nose can be shortened by reducing the lower lateral cartilages and trimming the end of the septum. It may also help to support the tip of the nose. However, if too much skin is present, the degree of shortening will be limited by the amount of skin present. An experienced rhinoplasty surgeon can go over what is realistic with your particular situation.

Brent Moelleken, MD

Beverly Hills Plastic Surgeon

ASAPS ASPS

Shortening a Nose

There are many causes of a long nose. Different techniques or combinations of techniques are used. To summarize, typically the septum is shortened and/or the tip cartilages are modified.

Richard W. Fleming, MD

Beverly Hills Facial Plastic Surgeon

Shortening length vs. projection of nose

Before answering this question I would like to define the term "length" as it relates to the nasal dimensions. When I refer to the length of the nose, I refer to the distance between the tip of the nose and the origin of the nose close to the eyebrows. An upturned nose will appear shorter than a downturned, hooked nose. The distance that the tip of the nose extends out from the face, away from the lower lip, as viewed on profile is called “projection”. Many times we... more

Andrew Coundouriotis, MD

Saint Petersburg Facial Plastic Surgeon

Rhinoplasty to shorten length of nose

Shortening the length of the nose can be performed through a rhinoplasty by reducing the caudal length of the septum, which alters both the shortness and the nasofacial angle. Additionally, upward rotation can be achieved through a combination of tip techniques including structural cartilage grafting and sewing the tip cartilages together with dome-binding suture. Further upward rotation and shortening of the nose can be done with a cartilaginous strip graft.

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William Portuese, MD

Seattle Facial Plastic Surgeon

Shortening nose length during surgery

A well-trained, experienced, competent rhinoplasty surgeon should have no problem shortening a long nose. In good hands, it is relatively easy to shorten a long nose. The surgical maneuvers are technical and are generally based upon shortening a long septum as well as refining the cartilages of the tip of your nose. It is very important that your surgeon assess the structure of your entire nose to be sure that the changes you desire are not taken out of context. The entire nose should be... more

Sigmund L. Sattenspiel, MD

Freehold Facial Plastic Surgeon

Your nose may be shortened with Rhinoplasty Surgery.

The length of your nose is affected by the position of your septum, and the configuration of your tip cartilages. If you have a long nose and a droopy tip, you might benefit from a trim of your caudal (lower) septum, along with repositioning of the medial crurae of your lower lateral cartilages. You should consult several board-certified, experienced Rhinoplasty specialists with many favorable photos before you proceed. Shortening a long nose is one of the more common conditions improved... more

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Eric M. Joseph, MD

West Orange Facial Plastic Surgeon

Shortening a long nose during Rhinoplasty

A long nose is usually caused by a long nasal septum which defines the the bridge to nasal tip dimension, as well as the length and size of the tip cartilages called the lower lateral cartilages. Sometimes one or the other or both is the problem. To shorten the nasal septum an internal nasal incision is made along the edge of the nasal septum where it can be shortened by removing some of this cartilage. There are a variety of maneuvers to change the length of the nasal tip cartilages; one... more

Andrew Jacono, MD

New York Facial Plastic Surgeon

Shortening a nose

There are seceral ways to shorten the nose which includes manipulating the septum, the dorsum of the nose as well as the lower nasal cartilages.

Steven Wallach, MD

Manhattan Plastic Surgeon

ASAPS ASPS

There are a number of way to shorten a nose in rhinoplasty

The technique used to shorten a nose really depends on the cause. A long nose may be from a long septum, a hanging tip or some combination. Other causes can be excessively wide or long areas of the nasal tip cartilage and even bony overgrowth of what is called the nasal spine. So, the treatment really depends on the cause. You may need shortening of the septum, raising up the tip by pushing it upward, rotating it or even cutting and repositioning the tip cartilages. What is best for you can... more

Steven J. Pearlman, MD

New York Facial Plastic Surgeon

Rhinoplasty and Shortening the Nose

Hi Michael,Unfortunately, the nose can't be thrown into a washing machine and dryer to shrink like a new pair of jeans. Fortunately there are many maneuvers available during rhinoplasty that an experienced and skilled surgeon can carry out to shorten a long nose.Choose your rhinoplasty surgeon most carefully.Good luck and be well.Dr. P

Michael A. Persky, MD

Los Angeles Facial Plastic Surgeon

Shortening a lengthy nose during rhinoplasty

There are several techniques available to shorten the length of the nose during a rhinoplasty procedure. Some are as simple as decreasing the length of the caudal septum at the end or reducing the medial crura which support the tip. Other options including rotating the tip upward which will give the illusion of a shorter nose and also taking down the profile can shorten the nose when done in conjunction with other procedures. It is best to see an experienced rhinoplasty surgeon before you... more

Scott Trimas, MD

Jacksonville Facial Plastic Surgeon

Shortening the nose

In general, the harmonious measurements of the face roughly divide the face into thirds: the forehead (from the hairline to the bridge of the nose), the nose, and the upper lip (from the bottom of the nose) to the chin. Most surgeons will take this into account when performing a rhinoplasty. The nose can be shortened by changing the length of the septum from below, allowing the skin to contract afterwards. Conversely, it is very difficult to lengthen a nose, so you should be accurate in... more

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Ricardo Izquierdo, MD

Chicago Plastic Surgeon

ASAPS ASPS

Rhinoplasty to shorten nasal length

To shorten the length of the nose, the tip can be rotated upwards. The septum can be reduced a small amount which will also help to achieve this.

Nina S. Naidu, MD

New York Plastic Surgeon

ASPS

Shortening a long nose

Hi Michael, Shortening of an apparently long nose can take several forms depending on what is the cause of the excess length: the septum may be too long, the tip cartilages may be shaped in a way that causes the tip to be pointing downward, or the columella may be hanging. Often, a combination of maneuvers is applied to address these issues. It is important that, whatever method is applied, care is taken to preserve the structure and integrity of the tip cartilage to avoid it falling forward... more

Jason Litner, MD

Beverly Hills Facial Plastic Surgeon

Shortening the length of the nose.

The length of the nose generally refers to measured distance from the bridge (radix) to the tip. In this sense, the length of the nose can be dicreased by rotating the tip upwards. This can be accomplished via different internal procedures on the cartilage. The skin will shrink accordingly.

Otto Joseph Placik, MD

Chicago Plastic Surgeon

ASAPS ASPS

Shortening the Nose

The length of the nose is determined by the visible length of the septum. To shorten a long nose a transfixion incision is placed (at the caudal / visible end of the septum) and it is shortened by the desired amount with care being taken to properly re-position the nasal tip.