Can You Shorten a Nose 4mm by Infra Tip? Too Much?

asked 8 months ago by eliza bethany in New york
Latest answer by Ronald J. Edelson, MD
Question viewed 150 times
Tags: nose tip, female, shorten

I have a long nose and the way my surgeon is going to shorten it is to take off 4mm of the infratip. I think it's going to be too much so I am going to tell him in my next consult that I want 2.5 -3mm off instead. Notice the alar sidewall and crease is large can I reduce this also? If so, how?

6 answers to Can You Shorten a Nose 4mm by Infra Tip? Too Much?

Shortening your nose

When you choose a plastic surgery for a rhinoplasty, it is important that you are comfortable with their judgement and the quality of the work they do. I have had patients like you who have expressed concern over the possibility that their nose will be made too short. It is a common fear but I have never had a patient complain that I made their nose too short. I think when you discuss the matter with your surgeon he will be able to resolve your concerns about this.

Ronald J. Edelson, MD
San Diego Plastic Surgeon

Millimeters in Rhinoplasty

The infratip region is comprised of the medial crura of the lower lateral cartilages. Rarely, this can be unusually thick and seems to be in your case. Refinement is achieved by directly thinning the cartilage and also by suturing it up to the edge of your septum in a "tongue and groove" technique. However, I also agree that worrying about your surgeons goal to the millimeter is obsessive and may indicate you will be difficult to please. When you focus on minute and... more

Edmund Fisher, MD
Los Angeles Facial Plastic Surgeon

Shortening a long nose

Certainly, your nose does appear long but not just in the supratip region. You might need some upward tip rotation and narrowing of the alar base as well as correction of the bulbous tip. All corrections should be done in conjunction and just shortening the infratip lobule can exaggerate some other areas of your nose. I would discuss with your surgeon the other aspects of your nose and how they would fit into the overall procedure. I hope this information helps.

Scott Trimas, MD
Jacksonville Facial Plastic Surgeon

Let your surgeon worry about how to fix your nose

I consider it a bit a red flag when patients come in describing what they want done to specific parts of their nose down to the half-millimeter. I agree with Dr. Schuster that nobody can produce results that precise. I can take exactly 2.5mm of cartilage off a certain area during surgery, but I cannot predict with that precision how the final result will be. Unless you are a plastic surgeon, the fact that you are using terms like "infratip", "alar... more

Matthew Bridges, MD
Richmond Facial Plastic Surgeon

www.matthewbridgesmd.com

Rhinoplasty for a long nose

First, no advice from photos can be as good as if the patient is i front of you.. However, your nose is only mildly long. If the supratip hump is reduced, the length isn't as obvious. So, the exact shortening would have to be analyzed with the other nasal structures in mind. Ask your rhinoplasty surgeon more specifically what is going to be done. A good surgeon will listen to you.

David Alessi, MD
Beverly Hills Facial Plastic Surgeon

Nasal tip reduction

Honestly, I don't think anyone can be that precise. There are too many factors to be able to control something down to the millimeter. The important thing is having a surgeon who understands the relationship between different parts of the nose and how they react to one another. How changes to one area of the nose will create changes in another part. yes, I also think that once your tip projection is shot=rtened you are probably going to have some alar flaring that would benefit from... more

Ronald Schuster, MD
Baltimore Plastic Surgeon

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