If you are looking to derotate and extend you tip, you will likely quire a rib graft which can be obtained for you from an organ donor. Please see examples below.
Revision to Lengthen a Short Nose
Decreasing rotation may or may not require the placement of a septal extension graft. Spreader grafts do not always increase nasal width. It is difficult to make specific recommendations without seeing pictures of your nose. Every surgery needs to be individualized to meet the needs f each patient.
You are describing many different techniques which can be used to lengthen a short nose. It would depend on many factors as to which is better for your situation. I would recommend visiting with a few revision rhinoplasty surgeons so they can examine you in person and determine the best course of action.
Best of luck
Revision rhinoplasty and septal extension grafts etc.
Revision rhinoplasty and septal extension grafts etc. are needed to lengthen the short nose and alar extension grafts are needed to derogate the lateral crura. I need to see photos to determine what you need. See a very experienced revision rhinoplasty surgeon who can show you his work.